What is the role of physical therapy during the acute phase of hip fracture treatment?

Updated: Jan 08, 2019
  • Author: Naveenpal S Bhatti, MD; Chief Editor: Sherwin SW Ho, MD  more...
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Answer

The treatment of femoral neck fractures, intertrochanteric hip fractures, and most tension femoral neck stress fractures requires surgical intervention. Stress fractures occur most often in the femoral neck and are classified according to the location (ie, inferior or compression, superior or tension). Tension fractures have a poor prognosis and tend to be unstable. Compression fractures may heal with conservative management.

Compression fractures are most commonly treated with several days of rest followed by protected, crutch-assisted weight bearing. Frequent serial x-ray films are recommended to monitor fracture healing and progress and to assess for any changes. The operative treatment of tension stress fractures and hip fractures is discussed in Surgical Intervention.


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