A hip fracture is a break in the upper quarter of the femur (thigh) bone. The extent of the break depends on the forces that are involved. The type of surgery used to treat a hip fracture is primarily based on the bones and soft tissues affected or on the level of the fracture.
The patient with a hip fracture will have pain over the outer upper thigh or in the groin. There will be significant discomfort with any attempt to flex or rotate the hip.Nonsurgical Treatment-Patients who might be considered for nonsurgical treatment include those who are too ill to undergo any form of anesthesia and people who were unable to walk before their injury and may have been confined to a bed or a wheelchair.
The highest incidence of hip fractures from Asia has been reported in Singapore: the study by Koh et al.revealed that hip fracture rates from 1991 to 1998 (per 100 000 per year) were 152 in men and 402 in women.These were respectively 1.5- and 5-times higher than corresponding rates in the 1960s, and approach rates seen in American and European populations.