Hip Fractures Treatment Options
Hip fractures require surgery or a cast, and sometimes both, to prevent the bones from shifting and causing permanent damage. Casts alone, without surgery, usually are used only in children younger than age 5 or so. Young children rarely get hip fractures. Their hip bones are more flexible than the hip bones of adults and less likely to fracture.
Surgery for Hip Fractures
If your child's X-rays show the break is bad or the hip is broken in several places, the doctor will recommend an operation to put the bone back in place. Most children with hip fractures who are older than age 5 need surgery.
During the operation, the doctor puts screws or pins in the bone to keep it in place so it can heal properly. Some children need to wear a cast after surgery to keep the broken bone in place and protect it as it heals.
Our doctors do both minimally invasive procedures and open surgeries to treat broken hips, depending on the nature of the break.
In a minimally invasive surgery for hip fracture, the doctor makes one small cut (incision) on your child's hip. Then, using X-ray guidance, the doctor puts screws or pins across the break.
In an open reduction for hip fracture, the doctor makes a larger cut on your child's hip. This lets the doctor see the bone so they can put it back in place.
If your child has surgery for a hip fracture, they will most likely be in the hospital about three or four days.
Sometimes, doctors use fiberglass body casts called hip spica casts in addition to surgery. The cast gives your child's hip extra protection. Your child will wear the cast for about four to six weeks. If your child needs a cast, the medical team will give you instructions on how to care for your child while they are wearing the cast.
After your child is treated for a hip fracture, their doctor will closely monitor them for at least a year to make sure they are healing well.