Alternate Names : Open Reduction and Internal Fixation of A Hip Fracture, Surgical Pinning of the Hip
Hip pinning is a procedure used to repair a hip fracture, or broken hip.
Pinning means that 1 or more special metal pins are inserted into a bone or
Who is a candidate for the procedure?
fracture is actually a break in the top part of the thighbone, also
called the femur. Not every hip fracture needs pinning. A bone surgeon known as
an orthopedist will determine if a fracture needs pinning. The decision is
usually based on the location, type, and severity of the hip fracture. The hip
pinning enables the hip to begin functioning and the person to move around
earlier than if the bone had to heal on its own. Also, it can help reduce
complications from prolonged bed rest.
How is the procedure performed?
Hip pinning is done in the operating
room under general anesthesia or regional
anesthesia. General anesthesia means the person is put to sleep
with medications. Regional anesthesia usually means the person will be awake
but numb below the waist. A medication may be given to make the person drowsy.
Once the anesthesia has started to work, the hip area is cleaned. An incision
is usually made on the outside of the hip. In rare cases, an incision is not
made into the skin, and the bones are manipulated into the right position from
the outside of the body. Joint X-rays are used to confirm that the bone pieces
are in the right position. Special metal pins are then inserted into the bone
pieces to hold them together. In most cases, these pins are underneath the skin
and cannot be seen after the operation. In some cases, the pins are inserted
through the skin and can be seen after surgery.
Other devices such as metal plates may also be needed to help hold the broken
bone together. After the bone is repaired, the incision is sewn closed. Special
plastic tubes may be put through the skin incision and into the area of
surgery. These act as drains to collect blood and other fluid that can build
up after surgery. A dressing is then applied to the incision. The person is
taken to the surgery recovery room. This procedure usually takes a
total of 1 to 3 hours.