Neck of Femur Fracture – Dr. Vinit Oswal | Expert Orthopaedic Doctor in Bengaluru

Dr. Vinit Oswal, an experienced Orthopaedic Surgeon at Spire Clinic, Bengaluru, specializes in treating neck of femur fractures. With expertise in both internal fixation and replacement surgeries, he provides individualized care to restore mobility, reduce complications, and improve quality of life, especially in elderly patients.

What is a Neck of Femur Fracture?

A neck of femur fracture is a break just below the ball of the hip joint (femoral head). It is common in elderly individuals with osteoporosis but can also occur in younger patients due to high-energy trauma such as road accidents or falls. These fractures can severely limit mobility and require prompt surgical intervention for best outcomes.

When should you seek treatment?

• Severe pain in the groin or hip after a fall or accident
• Inability to stand, walk, or bear weight
• Shortening or outward rotation of the affected leg
• Swelling and bruising around the hip joint
• Restricted hip movement and severe tenderness

How is a Neck of Femur Fracture Treated?

Treatment depends on patient age, bone quality, and fracture type. Options include:

• Internal Fixation – Screws, plates, or dynamic hip screws (DHS) are used in younger patients to preserve the natural hip.
• Hemiarthroplasty – The femoral head is replaced with a prosthesis, commonly used for elderly patients with displaced fractures.
• Total Hip Replacement (THR) – Both the femoral head and socket are replaced, ideal for active elderly patients or when arthritis coexists.

How is the Surgery Done?

• Performed under spinal or general anaesthesia
• Fracture fixation with screws/plates or replacement with prosthetic implants
• Minimally invasive and computer-assisted techniques used where possible
• Surgery duration: usually 1–2 hours
• Patients are mobilized early to prevent complications

Postoperative Care

• Hospital stay usually 5–7 days
• Early physiotherapy begins within 24–48 hours
• Use of walking aids like walker or crutches during recovery
• Balanced diet with calcium and vitamin D to support healing
• Regular follow-ups and X-rays to assess bone healing and implant stability
• Recovery period ranges from 8–12 weeks, depending on age and health

Rehabilitation and fall-prevention strategies are vital for elderly patients to avoid repeat fractures and improve independence after surgery.

Risks & Complications

• Non-union or avascular necrosis (AVN) due to disrupted blood supply
• Implant failure or loosening
• Infection at the surgical site
• Blood clots (deep vein thrombosis)
• Reduced hip mobility if not properly rehabilitated

Advantages of Timely Surgery

• Reduced pain and early mobilization
• Restored independence in elderly patients
• Lower risk of complications like pneumonia and bed sores
• Better long-term outcomes with appropriate fixation or replacement
• Improved quality of life with pain-free movement

Book Your Appointment

For additional information on Neck of Femur Fracture treatment, or to have your hip injury evaluated, please call +91 6364329177 – Dr. Vinit Oswal, Expert Orthopaedic Doctor in Bengaluru, serving patients at Spire Clinic and across Bangalore City.