Which is a post-op hip fracture complication besides pneumonia?

• A. Skin breakdown
• B. Hypertension
• C. Hypothyroidism
• D. Kidney stones

Answer: (A)

Prolonged immobility after hip fracture surgery greatly increases the risk of skin breakdown, or pressure ulcers. When a patient remains in one position for long periods, especially over bony prominences like the sacrum and heels, sustained pressure reduces blood flow to the skin and underlying tissue, leading to tissue damage. This makes skin breakdown a common complication in the post-op period alongside pneumonia, both arising from immobility and frailty.

Other options aren’t typical direct post-op complications of this scenario: hypertension can occur around surgery but isn’t a defining post-op issue here, hypothyroidism is a chronic condition, and kidney stones aren’t a typical acute post-op consequence of hip fracture repair.

Prevention centers on frequent turning, pressure‑relieving surfaces, good skin care, adequate nutrition and hydration, and encouraging early mobilization as tolerated.