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Fractures

Hip Fracture Treatment at Bombay Bone and Joint Clinic: Restoring Mobility, Preserving Independence
Hip fracture is among the most severe injuries, especially in the elderly, usually leading to loss of mobility, excruciating pain, and a dramatic reduction in independence. At Bombay Bone and Joint Clinic, we understand that hip fractures require prompt, expert-guided treatment to maximize recovery. Our multidisciplinary practice relies on swift diagnosis, innovative surgical methods, and customized rehabilitation to assist patients in restoring confidence, comfort, and control over their life.

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Understanding Hip Fractures: A Complicated Orthopaedic Emergency

A hip fracture most often happens in the top part of the femur (thigh bone) close to the hip joint. They are most often produced by osteoporotic elderly patients who fall, but can also happen from high-energy trauma in younger persons. Depending on the location of the fracture, fractures are classified as femoral neck fractures, intertrochanteric fractures, and subtrochanteric fractures—each necessitating different treatment plans based on the patient's age, general condition, and level of activity.

Early Diagnosis and Pre-Surgical Preparation

Timing is critical in the management of hip fracture. Early diagnosis by X-ray, and in some instances MRI or CT scan, allows proper classification of the fracture pattern and severity. In our clinic, emphasis is placed on starting treatment within 24–48 hours of the injury. Within this period, patients have a thorough pre-operative workup, such as cardiac assessment, optimization of chronic diseases, and management of pain—usually with regional anesthesia or nerve blocks to facilitate safety and comfort.

Surgical Skills Based on International Benchmarks

The foundation of treatment for hip fractures is surgery to correct or replace the fracture. Based on the extent and location of the fracture, and the physiological status of the patient, we can do internal fixation with plates, screws, or intramedullary nails. For displaced femoral neck fractures in the elderly, hemiarthroplasty or total hip replacement provides the best long-term solution for mobility and stability. Our clinic utilizes minimally invasive methods like Direct Anterior Approach and SuperPATH technique that minimize muscle trauma, postoperative pain, and hospital stay time. These newer methods are perfectly suited to facilitate faster return to function, reduce complications, and improve recovery.

Recovery Starts on Day One

Post-operatively, our practice focuses on early mobilization—usually within 24 hours—by using specialized physiotherapists. We know that extended bed rest during the recovery phase of hip fracture surgery increases the risk of complications like pneumonia, thrombosis, and muscle atrophy. Our staff makes sure that patients start ambulation as quickly as possible, with individualized rehabilitation programs that progress from in-hospital physio to outpatient or home-based recovery. The process of rehabilitation centers around the restoration of strength, balance exercises, and progressive gait correction. With consistent monitoring and assistance, most patients regain considerable functional independence within 6–12 weeks, although complete recovery can take as long as 3–6 months based on age and health.

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Reducing Risks, Enhancing Outcomes

At Bombay Bone and Joint Clinic, safety comes first with patients. We take a proactive approach to avoiding complications after surgery by optimizing hydration, nutrition, and thromboembolism prevention measures. We also educate patients and caregivers about fall-prevention techniques and lifestyle changes that minimize the likelihood of re-injury, especially in the elderly with osteoporosis or balance deficits.

Personalized, Compassionate Care from Diagnosis to Recovery

Dr. Yadwinder Grewal and our orthopaedic staff provide an empathetic, evidence-based experience for hip fracture treatment. We blend surgical accuracy with patient-focused rehabilitation strategies to enhance mobility as well as overall quality of life. If you or a loved one has experienced a hip fracture, our aim is to provide the optimal result through innovative treatments and sincere care.

If you or a loved one has sustained a hip fracture, don't wait. Reach out to Bombay Bone and Joint Clinic for professional assessment and fast treatment that emphasizes recovery, independence, and health.

Follow-Up Care After Fracture Treatment

Facilitating Complete Recovery and Long-Term Strengthening
Fracture treatment doesn't stop when the bone has been set or surgery has been performed—it's just the start of a holistic healing process. At Bombay Bone and Joint Clinic, we feel that organized follow-up care is key to restoring strength, avoiding complications, and achieving long-term musculoskeletal health. Our aftercare packages are specifically developed for each patient, blending evidence-based standards with watchful monitoring and rehabilitation to help every step of the recovery process.

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The Critical Role of Monitoring Bone Healing

After a bone fracture treatment—be it by conservative casting, internal fixation, or joint replacement—the central focus is to monitor healing. A series of follow-up appointments enables our specialists to assess the development of bone union through physical examination and intermittent imaging such as X-rays. These analyses enable us to determine if the healing is proceeding at the desired pace, identify early warning signs of non-union or delayed union, and make the necessary adjustments to the treatment plans. In patients who have undergone surgery, wound care checks and implant integrity assessments are incorporated into our follow-up plan.

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Rehabilitation and Physical Therapy Guidance

Recovery from fracture correlates most directly with restoration of joint function, muscle strength, and range of motion. Follow-up within our clinic involves integration with trained physiotherapists who will take patients through progressive exercise programs specific to the patient's injury and recovery stage. Stiffness reduction, balance restoration, and incremental return to weight-bearing status under the direct care of the physiotherapist is stressed. For older adults or those with multi-fractures, rehabilitation can also include functional training to enhance confidence in mobility and prevention of falls.

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Optimization of Nutrition and Bone Health

Fracture healing is not only determined by immobilization or surgical fixation, but also by the nutritional status of the body and the underlying bone health. Our healthcare professionals make sure that the patients are provided with information about a bone-supportive diet that includes calcium, Vitamin D, and protein. We also screen for osteoporosis in high-risk patients, especially postmenopausal women and elderly patients, and implement pharmacologic interventions or lifestyle modifications as required. This prevents future fractures and strengthens overall skeletal resilience.

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Emotional and Lifestyle Support

Healing from a fracture—particularly one that restricts mobility—may be physiologically and psychologically challenging. At Bombay Bone and Joint Clinic, we are aware of the mental effects of trauma and provide emotional support, education, and lifestyle advice in follow-up visits. If the patient is an athlete, elderly person, or returning professional, we work to manage fears concerning returning to work, sport, or daily activity with practical timelines and motivational encouragement.

Preventing Re-Injury and Enhancing Long-Term Joint Well-Being

One of the most important goals of our follow-up care is to make sure that once a patient has healed, he or she remains so. This involves assessing gait patterns, determining mechanical imbalances, and adjusting posture or activity techniques that may have led to the initial injury. Patients are also instructed on strategies to prevent falls, the use of supportive devices if necessary, and adequate ergonomics to minimize stress to healing structures. Closuring the loop between prevention and treatment, we assist patients in attaining not only immediate healing, but long-term bone and joint health.

At Bombay Bone and Joint Clinic, follow-up care is more than just a formal process—it's a vital part of your treatment plan that brings you back to life stronger, safer, and more confident. Whether it's post-fracture treatment or surgical intervention, our devoted care team is standing by to support your recovery at every step.

Rehabilitation and Recovery After Fracture Treatment

Restoring Strength, Movement, and Confidence with Guided Expertise

Mending a fractured bone is more than merely putting the bones back in place and setting the break. Real healing is about regaining movement, restoring strength, regaining confidence, and returning to activities of daily living easily. At Bombay Bone and Joint Clinic, we don't treat rehabilitation as a phase—rehabilitation is the core of healing. Our systematic and personalized recovery programs are geared to prevent complications, reduce downtime, and achieve full functional recovery.

The Function of Rehabilitation for Fracture Repair

Although the initial aim of fracture care is stabilization and anatomical alignment, rehabilitation returns the lost qualities—range of motion, strength in muscles, flexibility, balance, and coordination. The bone becomes solid as the body heals, but the surrounding muscles, ligaments, and joints need to be refit to perform natural motion. Avoiding this process results in stiffness, chronic pain, weakness of the joints, and impaired mobility. At Bombay Bone and Joint Clinic, all rehabilitation programs are tailored to the fracture type, the treatment technique employed (be it surgical or non-surgical fracture treatment), and the age, lifestyle, and objectives of recovery of the patient.

Early Mobilization and Edema Control

Rehabilitation normally commences in the initial days following fracture stabilization. Based on international physiotherapy guidelines—such as those by Reliva and ProPhysio—our early-phase rehab involves gentle movements, reduction of swelling, and pain management. Elevation, cryotherapy, compression therapy, and manual lymphatic drainage are used to manage edema. At the same time, non-weight-bearing movement and isometric exercises prevent muscle atrophy and joint contracture without loading the healing bone.

Strengthening Through Controlled Progression

As the healing continues, structured loading is necessary. In the intermediate phase, therapy focuses on the restoration of muscle strength, joint stability, and functional motion. It involves weight-bearing progress under observation, core strengthening, proprioceptive exercises, and compensation pattern correction for movement. The emphasis is on the restoration of strength while maintaining alignment and avoiding injury to the healing bone. In lower limb fractures, gait training becomes central. Through the use of parallel bars, crutches, walkers, and treadmill walking, patients are progressively instructed to distribute weight evenly, eliminate limping, and enhance balance and coordination. In upper limb fractures, grip strength, fine motor function, and shoulder motion are prioritized.

Return to Full Function and Daily Activities

Functional recovery is the last—and most gratifying—stage. Patients are readied to resume daily activities like going up stairs, lifting weights, driving, or sport-specific movements, as applicable. Dynamic exercises, agility drills, endurance training, and postural correction strategies are added at this stage by therapists. The focus is on progressing patients from clinical recovery to full independence and performance readiness. Our objective isn't mere recovery—it's resiliency. We see that the patient doesn't simply revert to baseline but surpass it with improved posture, joint habits of care, and strength consciousness than prior to injury.

Psychological Recovery and Patient Motivation

Breaks can pose emotional difficulties—affecting anxiety, frustration, and fear of re-injury are usual. At Bombay Bone and Joint Clinic, our therapists incorporate motivational encouragement, mental well-being check-ups, and positive reinforcement into all rehabilitation programs. We walk patients through the ups and downs of recovery, maintaining their confidence and morale intact throughout the process.

Prevention and Long-Term Joint Health

Recovery isn't all about today—it's all about avoiding tomorrow's injury. As patients continue through their care, we teach them fall prevention, safe lifting, proper ergonomic posture, and exercises to preserve bone density and joint strength. Patients who have underlying conditions such as osteoporosis, poor balance, or past fractures are provided with individualized prevention measures to help them remain fracture-free in the future.

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Advanced Techniques and a Multidisciplinary Team

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Our rehabilitation programs utilize the most current evidence-based physiotherapy: Neuromuscular re-education Soft tissue release and myofascial therapy Taping and bracing as needed Hydrotherapy and robot-assisted rehabilitation for more involved cases

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Our multidisciplinary team—orthopedic surgeons, physiotherapists, nutritionists, and rehabilitation coaches—works together to make sure your healing is complete, safe, and empowering.

At Bombay Bone and Joint Clinic, rehabilitation is where you start to recover and get your life back on track. Whether you're an athlete, working professional, or senior citizen, we're here to assist you in getting your movement, confidence, and independence back—one step at a time.

Is This the Right Choice for You?

Reach out to us incase of any questions and we will guide you on how to go about the hip replacement surgery.