Fractured hip advice?

Keep off it and really let it heal. If the ortho does surgery or not do all the rehab he gives and look at doing more rehab when that's done/ or if he fails to give you any. I didn't let mine heal all the way, thought it was good and went riding way to soon and it's never been right. Have me problems through college and now doctors are talking replacement. So my advice is give it time to heal and take it easy when he starts getting back to normal activities for a little bit.

bummer. Hope he heals up well. From all I hear, that's a really tough area to heal due to blood flow challenges.

So is it his femur or pelvis that has the fracture?

You need to be very careful here. I had a similar injury to my femur when I was younger by not taking it easy and continuing to race, which ended up with two pins reattaching the ball to my femur . This injury screwed up my leg for life and was one of the dumbest things in my life that could've been prevented.

Now I'm looking at a hip replacement 25 years later...

I'm 17, last year I fractured my femoral head, the back of my pelvis, and dislocated my hip. After they put my hip back in, the x-rays showed there was bone chips in the joint, like bread crumbs. I had surgery to clean up the joint. For the first two weeks, the pain was pretty bad. The doc wouldn't let me bend more than 75 degrees, because he feared it would dislocate out the back of the pelvis again, which meant I couldn't sit upright. I was on crutches for 2.5 months. Now it's just like new, it only hurts when it "pops", then it really kills. the best advice I can give is to take it slow, and if you're doing physical therapy, make sure to do the workouts they give you. I did mine 3-times a day, (they told me once or twice a day) which actually really helped the muscle recovery process. I was back on the bike in just under 4 months.

Here's the photo, it was very swollen. The little hole on the top is where a hose ran through to the bone to drain fluids.

How old is he? I don't want to scare you or put any negative thoughts in your head but when I was a teenager I slightly fractured my hip and continued to ride and do other things without really knowing it was broke. A few weeks later I barely crashed and it completely broke. Because I was young and wasn't fully developed yet it was my "growth plate" that fractured. When your growth plate fractures it can destroy the blood supply to your hip and cause all kinds of bad problems. That's what ended up happening to me and like dirthead1 said....it can and it did screw up my leg for life. I ended up having a hip replacement about 10 years ago when I was 27.
I would do everything the doctors recommend and just stay positive......good luck!

That actually looks like it was broke in a pretty safe spot. The ball on mine completely broke apart....like this........

Wow! Yours was worse than mine, but very similar.

If this was my kid he'd be taped to a wall. Just the fact you are asking on here instead of your doctor is a red flag for me.

Holy crap!
Reading this will make me ride super-easy this weekend.

try to keep the oem stuff as long as you can, heres my set up

Damn, sorry to hear that. I have no advice for that injury but best of luck to him.

Here is my hip, I still have my OEM parts but they just have a few added extras. Broke the ball joint off, happened when I was 37 they said if I was a few years older they would have just give me a new hip, I'm 44 now, I still have the hardware and I still race and have had no complications. I was back at work after 2 months and riding not long after that. So good luck with your sons break.

I have same as above on my left hip, but only the one major pin going into my hip socket, did it last year. It bothers me a fair bit at night after a long day at work which involves lots of walking, up and down ladders, stairs and carrying heavy things. I have broken both hips and they are both problematic and annoy me at times.

I have two scars similar to Chip600's. Blew out both hips, broke the top of the right femur, and tore up my left shoulder just over 3 years ago. A couple weeks in the hospital, then 6 in a wheelchair using one arm to transfer from bed to chair, etc. I was excited to graduate to the walker. Docs said 2 years to get to 70% and that I'd probably never get beyond that. I was always ahead of schedule so figured I'd get beyond the 70% mark but that's probably about where I am. My left side feels good (I don't even notice it) but the right side is practically bone on bone and hurts with every step. Hip replacement is a question of when, not if. Bottom line - like others have said, do the PT and let it heal.

My femur looks exactly like yours. Hope he heals up quick! These are scary injuries

Joey did the same thing but to his shoulder right around when he was Jakes age. The ball ripped out of the socket and actually broke in half. The key is having a really good ortho that spcializes in that specific area, and preferably who is a Sports medicine specialist.
I

Is that a hip resurfacing?
Mine has the hole nine yards done.....

Yes a resurfacing. It was bitchen for a couple years. (4-1/2 yrs later) it's starting to hurt again. Now they test my blood for metal every 6 months, they say when the levels reach 7.0, thats their red flag to revise to the whole schmeal like you have. Mines at 6.4pbb. See how steep the cup in the pelvis is ? They missed the angle by about 20 degrees. Dumbfuks.....
Coulda shoulda woulda lasted years, oh well. THR with a ceramic ball and a polyethelene (high tech word for plastic) liner is what they recommend next
Are you happy with yours ? Any limitations ? Mine was un-noticable at 2 years out, now not so much

I've been really happy with mine, its been about 10 years since I've had it done. I still ride and race moto and I've had some really bad crashes and other injuries over the years and the hip has held up perfectly fine. I have it x-rayed once a year and there hasn't really been any signs of loosening yet. The doctors say it looks really good and tell me to just keep on doing the things I've been doing.

Thats good to hear, I've been riding and racing (well 50novice, does that count ? ha) and it hasn't loosened or shown any signs of coming loose yet (knock on wood) but rom is gradually getting worse and the pain comes on sooner and more severe as time goes on, I'll need a revision sooner or later, hopefully later...

Sounds like Jake has been through a lot. I hate to see these injuries. Even if they heal fine, when they get older, arthritis will set in at every one of them. Going thru that now. Take the time off as long as you need, skip a season. You will be better off as life goes on.

Super strange place to have a break. That's actually an avulsion fracture that extended into the acetabulum. Is he weak with flexion at the hip? Does he walk up/down stairs with trouble? Post what the ortho guy says. If he's not significantly weak I would venture to guess that he won't do anything but tell you to chill out for a month or two.

Good luck!

PS. All these other dudes broke their femur. Totally different fracture and repair.

This is one of THE hip guys. He's in San Francisco. Does a lot of arthroscope stuff on hips.

I have some Doc's in my family that had him do work on them. Below.....



Thomas Sampson, M.D.

Dr. Sampson is an orthopedic surgeon who has practiced in San Francisco for 25 years. Dr. Sampson is one of the country’s foremost experts on hip arthroscopy and anterior hip replacement. He was an early adopter of minimally invasive surgery for hip and knee replacement. He is also trained in computer navigated joint replacement. Dr. Sampson attended University of California, Riverside as an undergraduate. He earned his Doctorate in Medicine at Georgetown University Medical School and his post graduate studies at the University of California, San Francisco. Dr. Sampson is a Diplomat of the American College of Orthopedic Surgery and a Fellow of the American Academy of Orthopedic Surgeons and the Arthroscopy Association of North America. He is an Associate Clinical Professor at the University of California, San Francisco. Dr. Sampson teaches hip arthroscopy throughout the world and is frequently invited to speak internationally.

Medical Director
Total Joint Center
1199 Bush Street, #300
San Francisco, CA 94109
(415) 353-6380

Orthopaedic Surgeon:

Hip arthroscopy
Metal-on-metal hip
Mini-incision hip replacement
Femero-acetabular impingment syndrome

Curriculum Vitae

TITLE: Orthopaedic Surgeon
BORN: Los Angeles, California, July 10, 1951
PRE-MEDICAL EDUCATION: University Of California, Riverside; B.S. Biochemistry, March 1973.
MEDICAL EDUCATION: Georgetown University Medical School; May 1977
INTERNSHIP: Mount Zion Hospital and Medical Center, completed June 1978
RESIDENCY IN ORTHOPAEDIC SURGERY: University Of California, San Francisco, July 1978 to June 1982
BOARD CERTIFICATION: July 19, 1985
MEDICAL SOCIETIES: California Orthopaedic Association, San Francisco Medical Society, Le Roy C. Abbott Orthopaedic Society, American Academy Of Orthopaedic Surgeons, Western Orthopaedic Association, Arthroscopy Association Of North America.
LICENSE: Radiography And Fluoroscopy. X-Ray Supervisor And Operator.

Presentations

"The Harris Condylocephalic Nail" presented at the Le Roy C. Abbott Orthopaedic Society, San Francisco, June 1980.
"The Varciela" presented at the Hand Surgery Grand Rounds, San Francisco, November 1980.
"Macrodactyly" presented at The Sterling Brunnell Memorial Lectureship, Shriners Hospital, San Francisco, November 1980.
"Cervical Spine Disorders in Children" presented at the Verne T. Inman, Shriners Hospital Meeting, San Francisco, May 1981.
"Hypotensive Anesthesia for Total Hip Replacement" presented at the Combined University of California Grand Rounds, San Francisco, November 1981 and at the "Extra-Articular Surgery of the Hip for Arthritis" presented at Combined University of California Orthopaedic Grand Rounds, San Francisco, March 1982.
"Hypotensive Anesthesia for Total Hip Replacement" presented at The Western Orthopaedic Association 46th Annual Meeting, Albuquerque, New Mexico, October 12, 1982.
"The Aging Hip" presented at the Geriatric Conference, Mt. Zion Hospital, San Francisco, December 13, 1983. "Advancement in Hip Prosthesis" presented at The Physical and Occupational Therapy Conference, Mt. Zion Hospital, San Francisco January 10, 1984.
"Bursitis & Tendonitis" presented at the 35th Annual Course for Physicians in Family Practice, Mt. Zion Hospital, San Francisco, March 6, 1985.
Anatomy Portion of The San Francisco Orthopaedic Review Course on the Shoulder and Arm, University of California, San Francisco, May 1985.
"Joint Replacement The Great Cure" presented at Institute on Aging, Mt. Zion Hospital, May 21, 1987.
"Arthroscopy Treatment of Shoulder Impingement", by Todd H. Katzman, M.D., James M. Glick, M.D., Thomas G. Sampson, M.D., Robert B. Gordon, M.D., Stanley L. Kampner, M.D., presented at The Twenty Second Annual Scientific Program of The Leroy C. Abbott Orthopaedic Society, May 22, 1987.
Instructional Course, "Arthroscopy of the Hip and Ankle", James M. Glick, M.D., Thomas G. Sampson, M.D., Arthroscopy Association Of North America 8th Annual Meeting, Westin Hotel, Seattle, Washington, April 13- 16, 1989.
"Shoulder Arthroscopy-Getting Started" AANA Annual Meeting Instructional Course, Wesley Nottage, M.D., Richard Hawkins, M.D., Thomas G. Sampson, M.D., Orlando, Florida April 26-29, 1990.
"Ankle Arthrodesis" James M. Glick, M.D., Mark S. Myerson, M.D., Craig D. Morgan, M.D., Thomas G. Sampson, M.D., AANA Annual Meeting Orlando Florida, April 26, 1990.
"Precision Acromioplasty In Arthroscopic Subacromial Decompression Of The Shoulder" The 25th Annual Le Roy C. Abbott Society Meeting University Of California, San Francisco, May 4, 1990.
"Common Orthopaedic Problems In The Elderly" Institute On Aging, Mount Zion Hospital and Medical Center, Geriatric Clinic Seminar, May 9, 1990.

I got my left hip resurfaced a little over ten years ago no problems to date,although I've never had my blood checked for metal ions.

Here's the before and after,broke it when I was 14 had resurfaced 20 years later.I didn't follow the Dr's orders,So my advice get a good Dr. and Listen.

That's great news Jakes Dad. It's amazing when these young kids are in good shape, you can almost watch them heal. It happens so fast. Happy to hear that, and good luck.