Home Trauma & Fracture CareHip Fracture Surgery in India

Hip Fracture Surgery in India

Surgical treatment for hip fractures including femoral neck, intertrochanteric, and subtrochanteric fractures

Overview

Hip Fracture Surgery is a critical orthopedic procedure designed to treat fractures occurring in the upper portion of the femur (thigh bone) near the hip joint. Hip fractures are among the most serious and life-altering injuries in orthopedic trauma, particularly affecting elderly patients with osteoporosis, though they also occur in younger patients following high-energy trauma from motor vehicle accidents, motorcycle crashes, falls from height, or industrial accidents. These fractures are classified into three main types based on anatomical location: (1) Femoral neck fractures (intracapsular, occurring within the hip joint capsule), (2) Intertrochanteric fractures (extracapsular, occurring between the femoral neck and lesser trochanter), and (3) Subtrochanteric fractures (occurring below the lesser trochanter). Each fracture pattern requires specific surgical approaches, implant choices, and treatment strategies to achieve optimal healing and functional recovery. At Arthoscenter in Patna, Bihar, Dr. Gurudeo Kumar has established himself as one of the region's most experienced hip fracture surgeons, having successfully treated over 1,800 hip fracture cases with exceptional clinical outcomes, union rates exceeding 94%, and mortality rates significantly below national averages. Our comprehensive hip fracture program operates 24/7 with dedicated geriatric trauma teams, fellowship-trained orthopedic surgeons, state-of-the-art C-arm fluoroscopy systems, comprehensive implant inventory including cannulated screws, dynamic hip screws (DHS), cephalomedullary nails (proximal femoral nails), hemiarthroplasty and total hip replacement prostheses, expert anesthesia teams experienced in managing elderly patients with multiple medical comorbidities, intensive care facilities, and structured multidisciplinary rehabilitation programs to ensure optimal care for every hip fracture patient requiring urgent surgical intervention. Hip fractures are considered orthopedic emergencies requiring surgical intervention within 24-48 hours of injury whenever medically possible. Early surgery has been definitively proven to reduce complications including pressure sores, pneumonia, blood clots, and mortality while improving pain control, facilitating early mobilization, preventing malunion and nonunion, and resulting in better functional outcomes and higher rates of return to independent living. Delayed surgery beyond 48 hours is associated with significantly increased complications and mortality, particularly in elderly patients. In Bihar, hip fractures represent a major public health concern affecting thousands of patients annually. The elderly population (age 65+) is most vulnerable, with fractures typically resulting from simple falls at home due to osteoporosis (age-related bone weakening), poor vision, environmental hazards (wet floors, loose rugs, poor lighting), balance disorders, and medication side effects. Younger patients sustain hip fractures from high-energy trauma including road traffic accidents (extremely common in Bihar's urban and rural roads), motorcycle crashes, falls from height during construction work or agricultural activities, and industrial accidents. Additional risk factors prevalent in Bihar include vitamin D deficiency (very common despite abundant sunlight), inadequate calcium intake, smoking and tobacco use, alcohol consumption, diabetes, and chronic corticosteroid use. The surgical approach for hip fractures depends primarily on fracture location and patient age. Femoral neck fractures are classified using the Garden classification system (Garden I-IV based on displacement), with treatment decisions guided by fracture displacement and patient age. Young patients (under 60-65) with femoral neck fractures typically undergo open reduction and internal fixation (ORIF) using multiple parallel cannulated screws or sliding hip screws to preserve the native femoral head and avoid prosthetic implants. Elderly patients with displaced femoral neck fractures (Garden III-IV) typically undergo hemiarthroplasty (replacing the femoral head only) or total hip arthroplasty (replacing both femoral head and acetabulum) since these fractures have high rates of avascular necrosis and nonunion due to disrupted blood supply to the femoral head. Intertrochanteric and subtrochanteric fractures are classified using the AO/OTA classification system based on fracture pattern complexity and comminution. These fractures are typically treated with internal fixation using either dynamic hip screws (DHS/sliding hip screws) for stable two-part fractures or cephalomedullary nails (intramedullary nails such as proximal femoral nail/PFN, trochanteric femoral nail/TFN) for unstable, comminuted, or reverse obliquity fractures. Cephalomedullary nailing has become the preferred treatment for most intertrochanteric fractures due to advantages including smaller incision, less blood loss, biomechanical superiority in unstable fractures, and ability to treat both intertrochanteric and subtrochanteric fractures with the same implant. At Arthoscenter, Dr. Kumar's comprehensive hip fracture care program includes immediate emergency department assessment with dedicated trauma protocols, rapid diagnostic imaging (AP pelvis X-ray, lateral hip X-ray, CT scan for complex fractures), medical optimization including correction of anemia, electrolyte abnormalities, and cardiac/pulmonary issues, surgical intervention within 24-48 hours using evidence-based techniques and modern implants, regional anesthesia (spinal/epidural) when possible to reduce surgical risk in elderly patients, comprehensive postoperative care including DVT prophylaxis, early mobilization protocols, pain management, pressure sore prevention, structured physical therapy with weight-bearing as tolerated, regular follow-up with serial X-rays to monitor healing, management of osteoporosis with calcium, vitamin D, and bisphosphonates to prevent future fractures, and long-term functional outcome assessment with focus on returning patients to independent living. Success rates for hip fracture surgery are excellent when performed promptly with appropriate surgical technique and comprehensive perioperative care. Union rates exceed 90-95% for most fracture patterns. Mortality rates at our center are significantly below national averages due to rapid surgical intervention, expert perioperative management, and multidisciplinary care protocols. Most patients can begin immediate weight-bearing as tolerated after surgery (depending on fracture pattern and fixation stability) and progress rapidly with physical therapy. Return to independent walking typically occurs within 6-12 weeks, while full recovery and return to pre-injury function may take 3-6 months depending on patient age, fracture severity, associated injuries, medical comorbidities, and rehabilitation adherence. Our hip fracture program emphasizes not just surgical excellence but comprehensive patient-centered care addressing the unique needs of Bihar's population. We accept all major insurance plans including PMJAY (Ayushman Bharat) and BSKY (Bihar State Health Insurance) covering hip fracture surgery for eligible beneficiaries, provide affordable payment options for uninsured patients, maintain comprehensive implant inventory to avoid surgical delays, offer family counseling and education programs, coordinate home care and rehabilitation services, and focus on osteoporosis prevention and fall prevention education to reduce future fracture risk. We are committed to helping every hip fracture patient achieve the best possible recovery and return to independent living with dignity and quality of life.

Symptoms & Indications

This surgery may be recommended if you experience:

Severe hip and groin pain immediately after fall or trauma

Inability to bear weight or stand on the injured leg

Shortened leg with external rotation (foot turned outward)

Visible bruising and swelling around hip and thigh

Extreme pain with any attempted hip or leg movement

Deformity of the hip region with abnormal positioning

Complete loss of hip joint function and mobility

Tenderness when touching the hip area

Inability to lift the leg while lying down (positive heel tap test)

In elderly: confusion or altered mental status due to severe pain and stress

Procedure Details

Duration

1-3 hours depending on fracture type (simple fixation: 45-90 minutes, complex fixation or arthroplasty: 2-3 hours)

Anesthesia

Regional anesthesia (spinal/epidural preferred for elderly) or general anesthesia

Preparation for Surgery

Emergency assessment with trauma protocols and vital signs monitoring. Immediate X-rays (AP pelvis, lateral hip) to confirm fracture location and pattern. CT scan for complex fractures requiring detailed evaluation. Comprehensive medical evaluation including ECG, chest X-ray, blood tests (hemoglobin, electrolytes, kidney/liver function, coagulation profile). Cardiac and pulmonary clearance for elderly patients with comorbidities. Pain management with IV analgesics and nerve blocks. Treatment of anemia with blood transfusion if hemoglobin <10 g/dL. Correction of electrolyte abnormalities and optimization of chronic medical conditions. DVT prophylaxis with compression stockings and blood thinners. NPO status (nothing by mouth) for at least 6-8 hours before surgery. Antibiotic administration 30-60 minutes before incision. Informed consent discussion covering surgical options (ORIF vs hemiarthroplasty vs THA), risks, benefits, and expected outcomes.

Surgical Steps

Regional anesthesia (spinal or epidural) or general anesthesia administered based on patient condition and fracture type

Patient positioned supine on fracture table (for fixation) or lateral decubitus position (for arthroplasty)

Surgical site prepared with antiseptic solution and sterile draping

For ORIF with screws: Closed or open reduction of fracture fragments using image guidance, multiple parallel cannulated screws (typically 3) inserted across femoral neck under fluoroscopy, compression achieved to promote healing

For DHS fixation: Lateral hip incision made, fracture reduced under fluoroscopy, lag screw inserted through lateral cortex into femoral head, side plate attached to femur with multiple screws

For cephalomedullary nailing: Small incision at proximal thigh, guide wire inserted into femoral canal, femoral canal reamed, intramedullary nail inserted, proximal neck screw(s) inserted into femoral head, distal locking screws placed

For hemiarthroplasty/THA: Hip joint approached through posterior or anterolateral incision, femoral head removed, femoral canal prepared and sized, cemented or uncemented femoral stem inserted, bipolar head or total hip components implanted

Final fluoroscopic or X-ray images obtained to confirm proper implant position, screw placement, and fracture reduction

Thorough irrigation and hemostasis achieved

Wound closure in layers with sutures, surgical drain placed if needed, sterile dressing applied

Recovery Timeline

What to expect during your recovery journey

Hospital Stay (3-7 days)

Immediate Post-Surgery

Pain management with IV/oral medications and nerve blocks. DVT prophylaxis with compression devices and blood thinners. Early mobilization starting day 1 post-surgery with physical therapy - sitting up, transferring to chair. Weight-bearing as tolerated for most fixation methods and arthroplasty (immediate full weight-bearing often permitted). Non-weight-bearing or touch-weight-bearing for some unstable fractures or ORIF with screws. Wound care and drain removal (if placed). Monitoring for complications: infection, blood clots, delirium, pressure sores. Occupational therapy for activities of daily living.

Weeks 1-2 (Home Recovery)

Early Mobilization Phase

Continue prescribed pain medications (gradually reducing narcotics). Daily physical therapy exercises focusing on hip range of motion and strengthening. Walking with walker or crutches (weight-bearing per surgeon instructions). Prevention of hip dislocation precautions for arthroplasty patients: avoid hip flexion >90 degrees, avoid crossing legs, avoid internal rotation. Wound monitoring for signs of infection (redness, drainage, fever). Continue DVT prophylaxis. First follow-up appointment with X-rays to assess healing and implant position. Home health services or outpatient physical therapy.

Weeks 3-6 (Progressive Recovery)

Increasing Independence

Progressive weight-bearing based on fracture healing and stability (most patients progressing to full weight-bearing). Transition from walker to cane or independent walking. Increased physical therapy intensity with strengthening exercises (hip abductors, extensors, flexors). Return to light activities of daily living: bathing, dressing, cooking. Pain significantly decreased. X-rays at 4-6 weeks to confirm early fracture healing (callus formation for fixation, implant stability for arthroplasty). Gradual weaning off walking aids as strength and balance improve.

Weeks 6-12 (Functional Recovery)

Return to Independence

Most patients walking independently or with minimal assistance. Full weight-bearing achieved for nearly all fracture types. Continued strengthening exercises and gait training. Return to most daily activities including shopping, light housework, social activities. Driving permitted if right hip (typically 6-8 weeks for arthroplasty, 8-12 weeks for fixation depending on stability). X-rays confirm progressive fracture healing and bone union. Gradual return to pre-fracture activity level depending on age and baseline function.

Months 3-6 (Advanced Recovery)

Restoration of Function

Complete or near-complete fracture healing confirmed by X-rays (solid union for fixation, stable implants for arthroplasty). Return to unrestricted activities for most patients. Continued maintenance exercises to prevent muscle atrophy and maintain hip strength. Full independence in activities of daily living for most patients. Ongoing osteoporosis treatment (calcium, vitamin D, bisphosphonates) to prevent future fractures. Fall prevention strategies and home safety modifications.

Months 6-12 (Long-term Recovery)

Optimization and Prevention

Final functional outcome assessment comparing to pre-fracture status. Most patients achieve good to excellent functional recovery with appropriate rehabilitation. Some elderly patients may not return to complete pre-fracture baseline due to age and comorbidities but achieve acceptable functional independence. Hardware removal generally NOT needed for most hip fracture fixation implants (screws, nails, plates can remain permanently). Focus on secondary fracture prevention: treat osteoporosis, improve nutrition, fall prevention, vision correction, home modifications, balance training.

Tips for Faster Recovery

Follow weight-bearing restrictions precisely - early full weight-bearing may cause fixation failure in unstable fractures

Take calcium (1200-1500mg) and vitamin D (2000 IU) daily to support bone healing and prevent future fractures

Use DVT prophylaxis (blood thinners) exactly as prescribed for 4-6 weeks to prevent life-threatening blood clots

Perform prescribed physical therapy exercises daily to regain hip strength and prevent stiffness

Hip dislocation precautions for arthroplasty patients: avoid bending hip >90°, avoid crossing legs, use elevated toilet seat

Watch for warning signs requiring immediate medical attention: chest pain/shortness of breath (blood clot to lungs), calf pain/swelling (DVT), fever/wound drainage (infection), severe pain/inability to bear weight (fixation failure)

Attend all follow-up appointments with X-rays to monitor fracture healing and detect complications early

Treat osteoporosis aggressively with medications (bisphosphonates, denosumab) to reduce future fracture risk by 50-70%

Implement fall prevention: remove loose rugs, improve lighting, install grab bars in bathroom, use non-slip mats, wear proper footwear

Be patient - elderly patients may require 3-6 months for full recovery, younger patients typically recover faster (6-12 weeks)

Frequently Asked Questions

Common questions about this procedure

Q1.What is the difference between ORIF, hemiarthroplasty, and total hip replacement for hip fractures?

The choice depends on fracture location, displacement, and patient age. ORIF (Open Reduction Internal Fixation) uses screws, plates, or nails to fix broken bone pieces together while preserving the natural hip joint - typically used for younger patients (<60-65 years) with femoral neck fractures or for intertrochanteric/subtrochanteric fractures in all ages. Hemiarthroplasty replaces only the femoral head (ball) with a metal prosthesis while keeping the natural acetabulum (socket) - typically used for elderly patients (>65-70 years) with displaced femoral neck fractures (Garden III-IV) where blood supply disruption makes ORIF less reliable. Total Hip Replacement (THA) replaces both the femoral head and acetabulum - used for active elderly patients with displaced femoral neck fractures or pre-existing hip arthritis. At Arthoscenter, Dr. Kumar carefully evaluates each patient to recommend the most appropriate surgical approach based on fracture pattern, bone quality, activity level, medical comorbidities, and patient preferences to optimize outcomes.

Q2.How urgent is hip fracture surgery? Can it wait?

Hip fracture surgery is considered a medical emergency and should be performed within 24-48 hours of injury whenever medically possible. Numerous research studies have definitively proven that early surgery (within 24-48 hours) significantly reduces complications and mortality compared to delayed surgery. Delaying surgery beyond 48 hours increases risks of: pressure sores from prolonged bed rest, pneumonia and respiratory complications, deep vein thrombosis (blood clots) and pulmonary embolism, urinary tract infections, delirium and confusion (especially in elderly), muscle atrophy and deconditioning, increased pain and suffering, and overall mortality rates increased by 30-50%. The only acceptable reasons to delay surgery are: severe cardiac/pulmonary instability requiring optimization (active heart attack, severe heart failure, severe pneumonia), severe anemia requiring blood transfusion, major electrolyte abnormalities requiring correction, or uncontrolled bleeding disorders requiring treatment. At Arthoscenter, our 24/7 trauma program prioritizes rapid medical optimization and surgical intervention to achieve surgery within 24-48 hours for the vast majority of hip fracture patients, which is associated with significantly better outcomes.

Q3.What is the cost of hip fracture surgery in Bihar? Is it covered by insurance?

At Arthoscenter in Patna, hip fracture surgery costs range from ₹80,000 to ₹3,50,000 depending on multiple factors: fracture type and complexity (simple vs comminuted), surgical procedure chosen (ORIF with screws: ₹80,000-₹1,50,000; ORIF with DHS/nail: ₹1,20,000-₹2,00,000; hemiarthroplasty: ₹1,80,000-₹2,80,000; total hip replacement: ₹2,50,000-₹3,50,000), implant type (standard vs advanced/imported), hospital stay duration (typically 3-7 days), need for ICU care, blood transfusions, and complications. This includes surgeon fees, hospital charges, anesthesia, implants, medications, physical therapy, and initial follow-up. Insurance Coverage: Most health insurance policies cover hip fracture surgery as it is considered medically necessary emergency treatment. Government schemes available in Bihar: PMJAY (Ayushman Bharat) covers eligible beneficiaries (annual family income <₹5 lakhs) with coverage up to ₹5 lakhs per family per year - hip fracture surgery is typically fully covered. BSKY (Bihar State Health Insurance Scheme) provides coverage for Bihar residents. Our billing team assists with insurance claims, pre-authorization, and documentation. Emergency patients receive immediate life-saving care regardless of payment status. We also offer payment plans for uninsured patients in financial hardship.

Q4.Can elderly patients (80+ years) safely undergo hip fracture surgery?

Yes, hip fracture surgery can be safely performed in elderly patients including those over 80 years old, and in fact, surgery provides significantly better outcomes than non-surgical treatment even in very elderly patients. Studies consistently show that elderly patients who undergo surgery have: lower mortality rates (death rates reduced by 30-50% compared to non-surgical treatment), better pain control, higher rates of returning to walking and independent living, lower complication rates (when surgery performed early), and better quality of life. Non-surgical treatment of hip fractures in elderly patients leads to: prolonged bed rest with extremely high complication rates (pneumonia, blood clots, pressure sores, urinary infections), severe chronic pain, permanent loss of walking ability, complete dependence on caregivers, and very high mortality (50-70% die within 1 year without surgery). Age alone should never be considered an absolute contraindication to surgery. At Arthoscenter, Dr. Kumar and our geriatric trauma team have extensive experience operating on elderly patients. We use: comprehensive preoperative medical optimization (cardiac, pulmonary, renal), regional anesthesia (spinal/epidural) when possible which is safer than general anesthesia for elderly, minimally invasive surgical techniques, rapid surgery (typically 45-90 minutes), expert perioperative medical management, aggressive DVT prophylaxis, early mobilization protocols starting day 1 post-surgery, and multidisciplinary care involving geriatricians, cardiologists, physical therapists, and social workers. Our outcomes in patients 80+ years old are excellent with >90% returning to walking and 70-80% returning to independent living.

Q5.When can I walk and bear weight after hip fracture surgery?

Weight-bearing recommendations depend on fracture type and surgical procedure. For hemiarthroplasty or total hip replacement: Immediate full weight-bearing as tolerated is typically permitted starting day 1 post-surgery - you can put your full body weight on the operated leg immediately. Most patients walk with walker or crutches for support but can fully weight-bear. For stable intertrochanteric fractures fixed with DHS or cephalomedullary nail: Partial weight-bearing (30-50% of body weight) starting immediately, progressing to full weight-bearing by 4-6 weeks based on X-ray evidence of healing. For unstable comminuted intertrochanteric or subtrochanteric fractures: Touch-weight-bearing or partial weight-bearing initially, progressing to full weight-bearing by 6-8 weeks. For ORIF of femoral neck fractures with screws (younger patients): Non-weight-bearing or touch-weight-bearing for 6-8 weeks, then partial weight-bearing, progressing to full weight-bearing by 10-12 weeks based on X-ray confirmation of fracture healing. At Arthoscenter, Dr. Kumar provides specific weight-bearing instructions customized to your fracture pattern, bone quality, fixation stability, and individual healing capacity. Physical therapists work with you starting day 1 to ensure proper gait training and safe progression. Most patients transition from walker to cane by 4-6 weeks and achieve independent walking by 8-12 weeks. X-rays at follow-up appointments (2 weeks, 6 weeks, 12 weeks) guide progression of weight-bearing based on fracture healing.

Q6.What are the risks and complications of hip fracture surgery?

Hip fracture surgery is generally safe but potential complications include: Surgical complications: infection (surgical site infection 1-3%, deep infection <1%), blood loss requiring transfusion (10-20%), nerve injury (<1%, usually temporary), blood vessel injury (<1%), implant-related problems (screw cutout 2-5% for fixation, dislocation 1-3% for arthroplasty, periprosthetic fracture <1%). Medical complications: deep vein thrombosis/blood clots (5-10% despite prophylaxis), pulmonary embolism (<1% but potentially fatal), pneumonia (5-10% especially with delayed surgery), urinary tract infection (10-15%), pressure sores (5-10% with prolonged bed rest), delirium/confusion (20-30% in elderly, usually temporary), cardiac complications (heart attack, heart failure 2-5% in high-risk patients). Fracture healing complications: nonunion/failure to heal (5-10% for femoral neck ORIF, <2% for intertrochanteric fixation), malunion/improper healing (<5%), avascular necrosis of femoral head (10-30% for displaced femoral neck fractures treated with ORIF, hence why arthroplasty often preferred in elderly), hardware failure/breakage (<2%). At Arthoscenter, Dr. Kumar uses evidence-based protocols to minimize complications: rapid surgical intervention within 24-48 hours, meticulous surgical technique with modern implants, comprehensive DVT prophylaxis, aggressive infection prevention, early mobilization, and multidisciplinary perioperative care. Our complication rates are significantly below national averages and most patients heal completely without major complications achieving good to excellent functional recovery.

Q7.How long is the hospital stay after hip fracture surgery?

Hospital stay after hip fracture surgery typically ranges from 3-7 days depending on multiple factors. Younger healthier patients (age <65) with simple fractures and no complications: 3-4 days. Elderly patients (age >65) with uncomplicated recovery: 4-5 days. Elderly patients with medical comorbidities or complications: 5-7 days or longer if needed. The hospital stay includes: immediate post-surgery recovery and monitoring (first 24 hours in recovery room or ICU if needed), pain management optimization, physical therapy assessment and early mobilization (sitting, standing, walking with walker typically starting day 1), medical management of comorbidities and prevention of complications, wound care and drain removal (if placed), X-rays to confirm implant position and fracture reduction, and planning for discharge disposition (home with family support, home with home health services, or temporary rehabilitation facility). At Arthoscenter, our multidisciplinary team works to optimize recovery and facilitate safe early discharge when medically appropriate. Discharge criteria include: adequate pain control with oral medications, ability to safely transfer and walk with assistive device, medical stability, wound healing appropriately, and appropriate discharge plan (family support or home health services arranged). Some patients benefit from transfer to inpatient rehabilitation facility for 1-2 weeks for intensive physical therapy before going home, especially elderly patients living alone or with limited family support.

Q8.What causes hip fractures and how can they be prevented?

Causes vary by age group. In elderly patients (65+ years): Simple falls at home are the most common cause (>90% of hip fractures in elderly). Risk factors include: osteoporosis (age-related bone weakening - most important risk factor), poor vision, balance disorders, muscle weakness, environmental hazards (wet floors, loose rugs, poor lighting, clutter), medications causing dizziness (blood pressure medications, sedatives), chronic diseases (diabetes, Parkinsons disease, dementia). In younger patients (<65 years): High-energy trauma including road traffic accidents, motorcycle crashes, falls from height, industrial/agricultural accidents. In Bihar specifically: Road accidents are major cause in all age groups, agricultural injuries (falls from trees, animal-related), vitamin D deficiency (very common despite sunlight), inadequate calcium intake, tobacco and alcohol use. Prevention strategies: For elderly - fall prevention: remove loose rugs/clutter, improve home lighting, install grab bars in bathroom, use non-slip mats, wear proper footwear with good grip, vision correction (glasses, cataract surgery), balance training exercises, medication review to eliminate fall-risk drugs, walking aids (cane, walker) when needed. Osteoporosis prevention and treatment: adequate calcium intake (1200-1500mg daily from diet and supplements), vitamin D supplementation (2000 IU daily - critical in Bihar where deficiency is common), regular weight-bearing exercise (walking 30 minutes daily), avoid smoking and excessive alcohol, osteoporosis medications (bisphosphonates, denosumab) for high-risk patients - reduce fracture risk by 50-70%. For all ages: road safety (helmets for motorcycles, seatbelts, careful driving), workplace safety measures, treatment of chronic diseases. At Arthoscenter, we provide comprehensive osteoporosis and fall prevention programs for all hip fracture patients to prevent future fractures.

Q9.Will I be able to return to normal activities after hip fracture surgery?

Most patients can return to normal daily activities after appropriate recovery, though outcomes vary based on age, fracture type, surgical procedure, and pre-fracture functional status. For younger patients (<65 years) with isolated hip fractures: Excellent outcomes expected. 85-95% return to pre-injury activity level including work, sports, and all daily activities within 4-6 months. Full recovery with normal hip function typically achieved. Return to physically demanding work and high-impact sports by 6-12 months depending on fracture healing. For elderly patients (65-80 years) previously independent: Good to excellent outcomes expected. 70-85% return to independent living and walking. Most achieve independent activities of daily living (bathing, dressing, cooking, shopping). Many return to pre-fracture mobility level (walking distance, stairs, driving). Timeline typically 3-6 months for full functional recovery. For very elderly patients (80+ years) or those with multiple medical problems: Moderate outcomes expected. 50-70% return to independent walking (often with walker or cane). 40-60% return to completely independent living (some may require partial assistance). Some functional decline compared to pre-fracture baseline is common but most achieve acceptable quality of life. Factors predicting better outcomes: rapid surgery within 24-48 hours, excellent surgical technique and fracture reduction, early mobilization and aggressive physical therapy, good nutrition and medical management, strong family support, motivation and compliance with rehabilitation, absence of major complications, proper treatment of osteoporosis to prevent future fractures. At Arthoscenter, Dr. Kumars comprehensive approach addresses all these factors to optimize every patients recovery. We are committed to helping each patient achieve their maximum potential for returning to cherished activities and maintaining independence and dignity.

Q10.Is hip fracture surgery covered under government health schemes in Bihar?

Yes, hip fracture surgery is covered under major government health insurance schemes available in Bihar. PMJAY (Pradhan Mantri Jan Arogya Yojana / Ayushman Bharat): Eligibility: Families with annual income below ₹5 lakhs (approximately 40-50% of Bihars population qualifies). Coverage: Up to ₹5 lakhs per family per year for hospitalization expenses. Hip fracture surgery is included in the package with defined rates covering hospital charges, surgeon fees, implants, medications, and follow-up. Cashless treatment at empaneled hospitals. No age limit - elderly patients fully covered. BSKY (Bihar State Health Insurance Scheme / Mukhyamantri Swasthya Bima Yojana): Eligibility: All Bihar residents with valid ration cards. Coverage: Varies by card type but typically covers major surgeries including hip fracture treatment. Hospitalization costs covered including surgery, implants, and post-operative care. Process: Patients need to present Ayushman card or valid ration card at time of hospital admission. Hospital verifies eligibility and obtains pre-authorization from insurance agency. Treatment provided on cashless basis - patient does not pay upfront. Claims submitted by hospital to government insurance agency. At Arthoscenter, we are empaneled with PMJAY and BSKY schemes and our dedicated insurance team handles all paperwork and claim processing. Emergency hip fracture patients receive immediate surgery regardless of insurance status - documentation can be completed after stabilization. For patients without government insurance coverage, we accept most private insurance plans and offer affordable payment plans. Our priority is ensuring every hip fracture patient receives timely, high-quality surgical care without financial barriers delaying life-saving treatment.

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