How to know if my father needs surgery for a left hip injury after an accident? - #29778

Hello

This is a significant fracture of the hip socket, and while the displacement is described as mild, the fact that it is comminuted makes it more complex. Your father should be seen as soon as possible by an orthopedic or trauma surgeon, because many of these fractures need surgical fixation to restore the joint surface properly. If the joint alignment is still good, doctors may choose non-surgical management with strict bed rest, traction in some cases, and absolutely no weight bearing for several weeks.

For now, he should avoid standing or walking on that side, keep movements minimal, continue prescribed pain medications, and watch for increasing pain, swelling, numbness, or fever. Recovery usually takes a few months, and proper treatment is important to reduce the risk of long-term complications like hip stiffness, arthritis, or difficulty walking later.

Take care

Hello – Thank you for sharing the details. I understand this is a stressful decision.

The short answer: A mild pain level (1–3) and ability to bear weight do not automatically rule out surgery. Some hip fractures can be “non-displaced” (bone ends still aligned) and still require surgery to prevent later problems. Others heal without surgery.

Without seeing the scan, I cannot give a yes/no answer – but I can tell you exactly what to look for in the report to know whether surgery is likely needed.

🦴 When surgery is usually needed (even with mild pain):

Finding on scan Surgery likely? Why Displaced fracture (bones shifted apart) ✅ Yes Won’t heal properly without alignment Femoral neck fracture (just below ball of hip joint) ✅ Almost always High risk of bone dying (avascular necrosis) Intra-articular fracture (break goes into joint surface) ✅ Yes Causes early arthritis if not fixed Unstable pattern (e.g., subtrochanteric) ✅ Yes Leg can’t be kept still enough for healing

🩹 When surgery may NOT be needed:

Finding Treatment Non-displaced hairline crack Bed rest + no weight bearing for 6–8 weeks Isolated greater trochanter fracture (bony bump on side) Usually heals with rest, crutches Stress fracture (from repetitive force) Activity modification, sometimes surgery

📋 What you should do right now:

1. Look at the “Impression” section of the scan report – it often says: · “Non-displaced fracture – conservative management possible” · “Displaced femoral neck fracture – surgical fixation recommended” 2. Ask the orthopedist these 3 questions: · “Is this fracture displaced or non-displaced?” · “Is it a femoral neck fracture?” · “What is the risk of avascular necrosis (bone dying) if we don’t do surgery?” 3. Get a second opinion if unsure – hip fractures in the 50–65 age group are serious. What seems mild now can become a major disability later.

🚨 Why you shouldn’t decide based on pain level alone:

Your father has significant swelling – that means internal bleeding/inflammation. Hip fractures can be deceptively painless if the bone ends are stable, but leaving them untreated can lead to:

· Non-union (bone never heals) · Avascular necrosis (hip joint collapses months later) · Shortened leg & permanent limp

✅ Bottom line:

· Pain 1–3 + weight bearing possible + significant swelling = cannot rule out surgery. · Femoral neck or displaced fractures need surgery – no debate. · Non-displaced crack in certain areas can be treated without surgery.

Please share the exact “Impression” wording from the scan report with an orthopedist. Do not decide based on pain alone.

Dr Nikhil Chauhan

Determining whether surgery is necessary for your father’s left hip injury depends on several factors detailed within the scan report, alongside a clinical assessment. A few key pointers can guide you, although you’d still need a specialist’s consultation for personalized advice. First, look at whether the scan indicates a fracture. If he has a displaced fracture, especially involving the neck or head of the femur, surgery is often recommended to stabilize the joint. Restoring alignment and ensuring proper healing often require surgical intervention in such cases. Alternatively, non-displaced fractures might be managed conservatively with rest, physical therapy, and pain management, assuming the bone maintains its alignment and heals naturally. Also, consider the extent of cartilage damage or labral tears, which can impact the course of treatment. If severe, this too might necessitate surgical repair to prevent long-term mobility issues or arthritis. Additionally, your father’s age, overall health, and activity level should play a role in decision-making. Surgical risks increase with age and existing comorbidities like diabetes or heart disease, potentially suggesting caution or alternative treatments. Pain intensity and ability to bear weight on the affected hip are practical indicators. Severe pain with no relief or inability to walk suggests seeking surgical options. Ultimately, a detailed evaluation by an orthopedic specialist correlating the scan results with a clinical examination will provide the most accurate recommendation. If there’s high urgency, like a sharp, unbearable pain or deformity, seek immediate medical attention to prevent complications.

Whether surgery is needed for a hip fracture depends on the exact type and location of the fracture, whether the bone is displaced, and how stable the joint is — some fractures heal with rest and limited weight-bearing, while others require surgery to prevent long-term problems. The fact that he can still move and bear some weight is reassuring, but significant swelling after trauma still needs proper orthopedic evaluation. Please upload or share the scan report so I can help explain the findings, but the final decision should be made by an orthopedic surgeon after reviewing the imaging and examining him.