A 70-year-old male patient has a fracture of the right hip from a motor vehicle accident. The orthopedic surgeon decides to perform surgery to correct the fracture to prevent complications and allow early rehabilitation
Which type of surgery and stabilization will be performed on this patient? Refer to the figure.
1. external fixation
2. open reduction and internal fixation
3. total right hip arthroplasty
4. hip arthroscopy
Correct Answer: 2
Hip fractures in older patients are almost always repaired with an open reduction and internal fixation to prevent complications and allow early rehabilitation. The surgeon will implant surgical plates and screws to stabilize the bone and promote remodeling. External fixation would not be indicated for a hip fracture. A total right hip arthroplasty is not indicated for a hip fracture because the total hip would not need to be replaced. An arthroscopy is diagnostic, with repairs done after diagnosis, but would not be indicated for a hip fracture.
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