Is Weight Bearing Possible After A Broken Hip Surgery?
May need a hip replacement
Thanks for the query
I have read your query and gone through the attached reports.
It appears that the plate has moved in the neck of the femur making it more weak that it already is, for weight bearing purpose.
My impression will be that once the implant is removed on table, it can be assessed if the head of the femur bone is strong enough or not. If it isn't string enough for weight bearing, a decision to cut the head and neck of the femur and perform a Bipolar or Total hip replacement will be in keeping with the present standard of care.
I suggest you get a DEXA Scan done to look for the bone strength.
The quality of the bone needed for a cemented hip replacement is fair enough and can be sought after which she will be able to weight bear normally.
Do have a word with the doctors in this regard.
I hope I have answered your query.
I will be available to answer your follow up queries.
Only one Xray posted twice
You have posted only one Xray twice.
Kindly post the Xray before the surgery and the other sequential xrays so that I can comment further.
Implant needs to come out
I have seen the latest Xray that you have attached in the reports.
The bone quality is quite poor and the implant has already begun to cut out from the bone.
The implant needs to be removed and at first Non-weight bearing walking needs to be done with a walker to mobilise her for 6 weeks followed by touch-down weight bearing and gull weight bearing as tolerated eventually.
The fracture does not look un-united so we can give her a chance to walk, but only with extreme care.
Answers to your questions
The procedure to remove the late is fairly straightforward but there can be difficulties like screw or plate breakage and refracture due to bone growth around the plate and rounding off of the screw heads due to body fluid reaction.
Pain levels would as similar to the time of the first surgery.
Hospitalization time depends on if the surgery went well or there were any complications. If it goes well she can be mobilized early on a walker and get home within a couple of days and come back for suture removal.
When your mother comes back home she will need to bear a little pain and difficulty die to the new surgery but usually not more than a week to ten days.
She will be able to use her a walking frame.
The Incision would usually be a bit smaller than the 12 inch Incision.