What You Need to Know About Hip
Special to the Journal by
Deidre Blake, MD
There are roughly 300,000
hip fractures every year in the United States and this number is projected to
reach 500,000 by 2040. Eighty-five percent of these fractures occur in people
who are 65 years of age and older, associated with 25 percent mortality within
five years of fracture. It is extremely important for people to understand that
hip fractures are serious and life changing for the patient. The good news is
that there are a number of positive, preventive measures you can take to reduce
your risk for hip fracture.
What are the most common
causes of hip fractures?
Most hip fractures result
from falls from a standing height. The fall can be caused by icy pavement,
liquid on the floor, a loss of balance, and tripping over items on the floor.
Other hip fractures are caused by high-energy trauma, such as car accidents or
falls from ladders. A number of my hip-fracture patients have tripped over
their small dogs.
Why are people 60 and older
at greater risk of suffering a fracture?
One of the main reasons for
a higher hip fracture rate is osteoporosis, which causes bones to lose density
and therefore fracture more easily. Sense of balance tends to diminish in our
senior years and we may not see or hear as well as we used to. Reaction time
also slows down as we age, which makes falls more likely.
What preventive steps can I
take to reduce my risk of falling?
1) If you feel that your
balance is not what it should be, go straight to your doctor and get evaluated
further. There are a number of medical reasons for loss of balance. If you or
your doctor thinks you need a cane or a rolling walker, get one. If a family
member or friend needs a cane or walker, be positive and encourage that person
to use it because it could prolong his or her life. I have treated far too many
people who fractured their hips because they were too vain to use a cane or
2) If you have fallen more
than once, ask your doctor about physical therapy for gait training. This will
strengthen your muscles and improve your balance and proprioception, which is
your body’s way of sensing position and coordinating your movement.
3) Consider learning tai
chi. This is a Chinese martial art form that, when practiced slowly and gently,
is known to improve balance and decrease the risk of falling in seniors. This
is not a high impact sport and is safe for most people.
4) Have a visiting nurse
come to your house to identify tripping hazards and recommend placement of
handrails. Get rid of loose throw rugs and install railings to help you stay on
your feet. The goal is to prevent a fall.
5) Include calcium and
vitamin D in your daily diet or vitamin supplementation to help keep your bones
What if I fall and am in
If you fall and are injured,
call an ambulance and get to the hospital where a doctor can determine if you
have broken your hip. Most hip fractures require surgical repair. There are
essentially three different types of hip fractures, determined by the exact
location of the injury on the proximal femur (top of the thigh bone), and the
procedures to repair them differ. At Cayuga Medical Center we have orthopedic
specialists on our medical staff who perform these procedures routinely.
What happens after surgery?
Patients with hip fractures
go from the recovery room to a surgical floor. For patients who need inpatient
rehabilitation, our hospital has one of the best Physical Medicine
Rehabilitation Units in the country. Following release from the hospital,
recovering hip fracture patients have outpatient physical therapy in their home
or at a physical therapy center.
We do an excellent job with
hip fractures at Cayuga Medical Center. Our orthopedists are well trained and
experienced. Our inpatient and outpatient physical therapists are top notch. If
you suffer a fractured hip you do not have to travel out of town for care. We
have all of the services you need right here.
Dr. Blake is board certified
in orthopedic surgery, has special expertise in hip and knee joint replacement/
revision surgery, and serves on the medical staff at Cayuga Medical Center. She
practices with Orthopedic Services of Cayuga Medical Associates and can be
reached at (607) 272-7000.