Neck of Femur Fracture in a 50-Year-Old Direct Anterior Approach Total Hip Replacement
Patient Profile :
| Aspect | Details |
| Patient Profile | Age: 50 years, Gender: Male, City: Navi Mumbai |
| Presenting Complaint | Pain and inability to walk following a fall from height at home |
| Diagnosis | Neck of femur fracture |
| Diagnostic Method | X-ray |
| Treating Facility | Prime Care 360 Super Speciality Clinic, Seawoods, Navi Mumbai |
| Outcome | Excellent |
Case shared with patient consent.
The Problem
Mr Gaurish Raut, a 50-year-old man, suffered a fall from height at home that resulted in a fracture of the femur bone. Following the fall, he experienced pain and was unable to walk. An X-ray confirmed the injury as a neck of femur fracture.
The neck of the femur is the narrow section of bone connecting the shaft of the thigh bone to the ball of the hip joint. This region is a common site of fracture following a fall, particularly a fall from height or a direct impact to the hip. It is also an area with a limited and vulnerable blood supply, which is why fractures here are generally treated as time-sensitive rather than managed with prolonged observation. Depending on the pattern and displacement of the fracture, treatment options can range from fixation of the existing bone to replacement of the joint. X-ray imaging is the standard first-line diagnostic tool used to confirm the fracture and assess its pattern, as was done in this case. Learn more about DAA Total Hip Replacement as offered at the practice.
Treatment Plan
Based on the diagnosis, Dr. Avinashdev Upadhyay recommended a Direct Anterior Approach (DAA) Total Hip Replacement.
The Direct Anterior Approach is a technique for performing hip replacement surgery through a natural interval between muscles at the front of the hip, rather than through an incision that cuts across muscle tissue. Because this approach works around existing muscle planes instead of dividing them, it is generally associated with less disruption to the surrounding soft tissue. This is one of the reasons the approach is often linked with earlier mobilisation after surgery compared to some traditional techniques, though individual recovery still depends on factors such as the patient’s overall health, the nature of the injury, and adherence to post-operative guidance.
Procedure Details
Step-by-Step Overview
| Aspect | Procedure Details |
| Procedure | Direct Anterior Approach (DAA) Total Hip Replacement |
| Diagnosis | Neck of femur fracture |
| Facility | Prime Care 360 Super Speciality Clinic, Seawoods, Navi Mumbai |
| Surgeon | Dr. Avinashdev Upadhyay |
Post-Operative Results
Mr Raut was able to walk on the same day as his surgery. By the next day, he was walking without the support of a walker. Within one month, he had recovered completely and resumed his job.
Outcomes at a Glance
| Outcome Metric | Result |
| Same-Day Mobilisation | Walking on the day of surgery |
| Walker Independence | Achieved the day after surgery |
| Full Recovery | Within 1 month |
| Return to Work | Resumed within 1 month |
General Recovery Principles After Hip Replacement (General Information)
Recovery after a total hip replacement generally follows a structured progression: early weight-bearing and walking with support in the first days, a gradual reduction in dependence on walking aids over the following one to two weeks, and a return to routine daily activities over the following weeks as strength and confidence improve. Physiotherapy is typically an important part of this process, helping to restore muscle strength and joint range of motion. The specific pace of recovery varies from patient to patient depending on age, general health, and the nature of the original injury.
Patient Feedback
“I suffered a hip fracture after a fall from a height, which left me with severe hip pain and made it difficult to perform my daily activities. After consulting Dr. Avinashdev Upadhyay, I underwent a Direct Anterior Approach (DAA) Total Hip Replacement. My experience has been excellent from start to finish. I was able to start walking on the same day as my surgery, and by the very next day, I was walking independently without a walker. My recovery was much faster than I had expected. Within one month, I had recovered completely and was back to my normal daily routine. Today, I am completely pain-free and can walk comfortably without any difficulty. I sincerely thank Dr. Avinashdev Upadhyay for his expertise, confidence, and compassionate care throughout my treatment. I am also grateful to the hospital staff and physiotherapy team for their constant support during my recovery. I highly recommend Dr. Avinashdev Upadhyay to anyone looking for advanced hip replacement surgery and excellent patient care.”
Profile: Male · 50 years · Navi Mumbai
Procedure: Direct Anterior Approach Total Hip Replacement · Prime Care 360 Super Speciality Clinic, Seawoods, Navi Mumbai
Surgeon: Dr. Avinashdev Upadhyay
Frequently asked questions
Q1. What is a neck of femur fracture?
It is a fracture at the narrow section of bone below the ball of the hip joint. It is commonly caused by a fall, as in this case, and is generally treated as time-sensitive due to the limited blood supply in this region.
Q2. What treatment was given for this fracture?
The patient underwent a Direct Anterior Approach (DAA) Total Hip Replacement.
Q3. How soon could the patient walk after surgery?
The patient walked on the same day as surgery and was walking without a walker by the next day.
Q4. How long did full recovery take?
The patient recovered completely and resumed his job within one month.
Q5. What is the Direct Anterior Approach (DAA)?
It is a hip replacement technique that accesses the joint through a natural gap between muscles rather than cutting through them, which is generally associated with less soft-tissue disruption.
Q6. Where was the treatment performed?
At Prime Care 360 Super Speciality Clinic, Seawoods, Navi Mumbai, by Dr. Avinashdev Upadhyay.
