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?