Total Hip Replacement for Hip Fracture With Nonunion: A Complete Guide
Introduction
Hip fractures are common in older adults, especially after a fall or accident. In most cases, the bone heals with proper treatment. But sometimes, the bone does not heal as expected. This condition is known as hip fracture nonunion. When this happens, it causes constant pain, difficulty in walking, and reduced quality of life.
In such situations, Total Hip Replacement surgery in Patna is often the most effective treatment. With advanced medical care available, many patients consult Dr. Ashwini Gaurav, one of the Best Orthopedic doctors in Patna, for successful outcomes.
Understanding Hip Fracture Nonunion
A fracture with nonunion means the broken bone has failed to heal even after several months. Normally, bones join naturally during recovery. But in nonunion cases, the bone ends remain separated.
Fracture Nonunion Definition: Fracture nonunion is defined as a broken bone that has not healed within the expected time frame (usually 6–9 months). It may occur due to poor blood supply, severe injury, infections, or improper early treatment.
Nonunion vs Malunion
- Nonunion: Bone does not heal at all.
- Malunion: Bone heals in the wrong position.
Both conditions affect mobility, but nonunion is more painful and disabling. This condition is also seen in non-union bone fractures and fracture nonunion in long bones, but hip nonunion requires specialised surgical care.
Symptoms and Problems Caused by Hip Fracture Nonunion
Patients with hip nonunion may experience:
- Severe and constant hip pain
- Inability to bear weight on the leg
- Difficulty walking or standing
- Leg shortening or deformity
- Swelling around the hip
- Reduced joint movement
- Grinding or clicking sensation
These symptoms can become worse over time and lead to long-term disability if not treated.
Why Total Hip Replacement Is Recommended in Nonunion Cases
When a hip fracture does not heal, the joint becomes weak and unstable. Hip Replacement surgery in Patna, Bihar, is often recommended because:
- It replaces damaged bone and cartilage with an artificial joint
- It reduces pain instantly after recovery
- It improves mobility and stability
- It helps patients return to daily activities faster
- It avoids repeated surgeries
For many patients, Total Hip Replacement is safer and more effective than trying to fix the broken bone again.
Evaluation Before Total Hip Replacement
Before the surgery, a complete evaluation is done, which includes:
- X-rays and CT scans to study the bone condition
- Blood tests
- Checking bone quality
- Reviewing medical history
- Assessing risk factors like diabetes, smoking, or osteoporosis
An experienced orthopedic specialist like Dr. Ashwini Gaurav provides a detailed assessment to plan a safe and successful surgery.
Surgical Approach & Challenges in Hip Fracture Nonunion
In Total Hip Replacement for nonunion cases, the damaged bone is removed and replaced with an artificial hip joint that includes a cup, stem, and head. The surgeon ensures proper alignment and leg length for smooth movement. However, these cases can be slightly complex due to weak bone quality, previous scars, risk of infection, leg length differences, or delayed wound healing. Choosing an experienced specialist like Dr. Ashwini Gaurav helps in reducing these risks and ensures better surgical outcomes.
Recovery, Expected Results & Safety Tips
Most patients start walking within 24–48 hours and regain normal activities within 6–8 weeks. They usually experience pain-free movement, improved stability, and better leg strength after surgery. For faster recovery, follow physiotherapy, avoid deep bending, use support while walking, maintain a nutritious diet, stop smoking, and follow all medical advice carefully. With proper care, patients achieve a higher quality of life and return to daily routines smoothly.
When to See an Ortho Specialist – Dr. Ashwini Gaurav
If you have:
- Persistent hip pain after a fracture
- Difficulty walking
- Signs of bone not healing
- Previous surgery failure
- Hip deformity or leg length difference
Then visit Dr. Ashwini Gaurav, a leading orthopedic specialist offering Total Hip Replacement surgery in Patna with advanced techniques. His expertise helps patients overcome complex conditions like fracture nonunion safely and effectively.
Conclusion
Hip fracture nonunion is a painful and disabling condition, but modern medical treatments offer excellent solutions. Total Hip Replacement is one of the best options to restore mobility, reduce pain, and help patients live a normal life again.
With expert care from the Best Orthopedic doctor in Patna, Dr. Ashwini Gaurav, patients can achieve long-term relief and improved quality of life.
