Lecture Title:
Post-Operative Management and Rehabilitation of Hip Fractures
🕒 Duration: 45–60 minutes
🧠 Learning Objectives:
By the end of this lecture, students will be able to:
Understand the principles of post-operative care for hip fracture patients.
Describe the stages and goals of rehabilitation.
Identify common complications and strategies for prevention.
Recognize the roles of multidisciplinary team members.
📋 Lecture Outline:
1. Introduction (5 minutes)
Definition of hip fractures (types: intracapsular, extracapsular).
Importance of early surgical intervention.
Goals of post-op management: reduce morbidity, restore function.
Slide Tips: Show X-ray images of common hip fractures.
2. Immediate Post-Operative Phase (0–3 Days)
Goals:
Pain control
Prevent complications
Begin safe mobilization
Key Interventions:
Vital monitoring, pain relief (opioids, NSAIDs, regional blocks)
DVT prophylaxis (heparin, compression stockings)
Early mobilization (within 24–48 hours)
Fluid balance, nutrition
Visual Aids: Table comparing medications; post-op care checklist.
3. Sub-Acute Phase (3 Days – 6 Weeks)
Goals:
Start rehabilitation
Regain mobility
Prevent functional decline
Key Interventions:
Physiotherapy: ROM, bed mobility, gait training
Occupational therapy: ADLs, home safety
Nutrition: high-protein diet, calcium, Vitamin D
Prevention of pressure sores and infection
Visual Aids: Pictures of rehab exercises, walker training
4. Rehabilitation Phase (6 Weeks – 3 Months)
Goals:
Increase independence
Full weight-bearing (as permitted)
Enhance strength, balance, endurance
Activities:
Strengthening exercises for hip, core
Balance training (e.g., tandem walking)
Progressive ambulation and stair climbing
Visual Aids: Exercise video clips or animated diagrams
5. Long-Term Follow-Up (3+ Months)
Focus Areas:
Prevent recurrence (osteoporosis treatment)
Fall prevention (home modifications, vision checks)
Functional reintegration (community mobility)
Key Points:
DEXA scan, bisphosphonates
Role of caregivers and social support
Visual Aids: Fall-risk checklist, community reintegration flowchart
6. Complications and Special Considerations
Complications:
DVT, infection, dislocation
Delirium, pressure ulcers
Special Populations:
Dementia patients: need structured cues, supervision
Multi-morbid patients: need integrated care
Discussion: Role of the interdisciplinary team
🧑⚕️ Team Roles Overview:
Role Responsibility
Orthopedic Surgeon Surgical management
Physiotherapist Mobility & strengthening
Occupational Therapist ADLs and home setup
Nurse Monitoring, wound care
Dietitian Nutritional support
Social Worker Discharge planning, support
📌 Teaching Aids:
PowerPoint Slides
Case Scenarios
Demo Videos (e.g., ambulation training)
Quiz at the end (MCQs or short answers)
✅ Summary:
Hip fracture rehab is time-sensitive and multidisciplinary.
Early mobilization reduces complications.
Tailored rehab improves function and quality of life.
Long-term care involves bone health and fall prevention.
🧪 Optional Case Study (for discussion):
A 76-year-old woman with a femoral neck fracture undergoes hemiarthroplasty. What are the key components of her post-operative care and rehabilitation plan?