11/15/2025
Fixation versus replacement…
A patient recently came to my office approximately two weeks after having a hip fracture fixed out of state — the screws had already failed. I recommended conversion to a total hip arthroplasty to give them a more durable, reliable solution, and allow for immediate weight bearing.
I have a low threshold for arthroplasty in hip fractures to allow for immediate weight bearing. Choosing the right operation up front can prevent early failure and get patients moving again faster.