Understand hip nailing, the options to discuss with a qualified clinician and what to confirm before planning a visit to Shiraz.
Key points
- Discuss your individual suitability, alternatives and risks with the treating clinician.
- Ask for written preparation and recovery instructions, including your medicines and follow-up.
- Confirm the healthcare facility, full costs and arrangements before booking travel.
On this page
- What is hip nailing surgery?
- Types of hip nailing surgery
- Is Iran the right place for hip nailing surgery?
- When do you need hip nailing?
- How is hip nailing surgery done?
- The screws used in hip nailing surgery
- After hip nailing surgery
- The risks and complications of hip nailing surgery
- Hip replacement vs nailing
- Hip screw removal surgery
- Hip nailing vs ORIF
- Hip nailing and pregnancy
- A practical point for your care
- Planning treatment in Shiraz
- Sources
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A Medical Trip to Iran Is Worth It as You Enjoy
Both Great Surgery Results and Low Prices
There are a lot of people who travel abroad every year to have hip nailing surgery, a good share of them chooses Iran, which is considered a popular place for medical tourism and orthopedic surgeries due to the low prices, great medical services, and high experience of the Iranian surgeons. On top of that, you can enjoy your time in Iran and visit some of its tourist attractions.
How much is the cost of hip nailing surgery in Iran?
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Whether you are here to learn more about hip nailing in Iran or to learn more about the surgery itself, you are in the right place. Here we tell you what this surgery is and why you should choose to have hip nailing surgery in Iran.
What is hip nailing surgery?
Your hip is connected to your thighbone in the hip joint by what we call a ball and socket joint. This joint makes it possible for your leg to move and enables you to walk. When you fall or get a direct hit on the side of the thigh, you may get intertrochanteric fracture, which is a break in the upper part of the thighbone.
Hip nailing or hip pinning is an orthopedic surgery that is performed for fixing the broken hip in its place. There are some other names for the surgery like fracture repair, hip screwing and internal fixation. The surgery is called hip nailing or pinning due to the use of pins and/or nails to fix the bones in the correct position.
Types of hip nailing surgery
There are 2 types of hip nailing that can be used to treat your broken hip.
- Hip repair (internal fixation): in this method, the surgeon will stabilize the broken bones using surgical screws, nails, or even plates. This method is used to treat patients with broken bones that can be aligned together properly.
- Partial hip replacement (hemiarthroplasty): in this surgery, the surgeon will replace only the upper part of the thigh with an artificial part made of metal or ceramic.
Another treatment for hip fractures is total hip replacement, in which all the parts of the joint will be replaced with artificial parts. The parts can be made of metal, ceramic, or plastic.
In the 70s and 80s, the surgeons used a technique called hip cephalomedullary nailing. However, it caused excessive external rotation and knee pain so they stopped using it.
Is Iran the right place for hip nailing surgery?
Many people might think of Iran as a battlefield with soldiers and fighting. This is understandable due to the western propaganda. However, you should know that Iran is much different from what you would think.
The prices in Iran are one of the reasons for the medical tourism attraction. You can have the surgery, pay for the flight and enjoy several nights at a hotel, and it would still cost you less than the cost of the surgery in the United States of America or Europe.
So, by choosing to undergo the surgery of hip nailing in Iran, you would save money and have a quality treatment.
When do you need hip nailing?
Hip nailing procedure is needed if you have a hip break that involves the upper part of your femur. Depending on the nature of the break, you might need to have a hip replacement. Hip replacement can prevent further damage that can lead to problems like arthritis.
Hip fractures are often caused by falls. However, not every fall can cause a fracture, but sometimes bones might be weakened due to some health problems like cancer or osteoporosis.
How is hip nailing surgery done?
During hip nailing procedure, the surgeon will make one or two incisions on the side of your leg. After the surgeon puts back the bone into the right position, he/she will fix it in its place using pins, nails, screws, rods, or metal plates.
After the nailing or pinning is complete, the surgeon will perform an X-ray image to make sure the bone is in its place. In the end, the surgeon will staple the wound or use stitches to close it.
The screws used in hip nailing surgery
There are several types of screws that the surgeon might use. In some cases, the surgeon uses hip dynamic screw, which is designed to allow the bone to slide dynamically in a certain way. In other cases, the surgeon will choose individual screws for the fixation of the bone. The surgeon will choose the right screw based on your condition.
After hip nailing surgery
After the surgery, your doctor will give you some painkillers and probably some medicine to prevent blood clots. You might need to have a urinary catheter to be able to urinate without leaving your bed. Your doctor might tell you to keep a pillow under your leg to keep your hip fixed in its place.
After the surgery, your surgeon might give you some precautions for your movement. Hip nailing precautions may include:
The risks and complications of hip nailing surgery
Patients who have hip nailing may have short-term side effects and long-term side effects. The short-term risks may include:
- Bleeding and blood clots
- Damaging the nerves in the leg
- Arthritis
Long-term risks might take several months or even years to appear. They might include:
- Non-uniform healing: when some of the pieces of your bone does not heal together
- Having different leg length
- Bone fracture around the screws used to fix the hip fracture
Hip replacement vs nailing
Hip nailing is a surgery that is performed to hold the bone in its place using screws or pins. This surgery is used when the bone or the joint is not damaged. Hip replacement is performed when either or both of them are damaged. Depending on the case, the surgeon might need to replace the bone and the joint with metal parts.
Hip screw removal surgery
When you have plates or screws put into your body, you will wonder if they would stay in there forever. In general, they will stay forever with no need to remove them. In certain cases, if the screws loosen for some reason and start to cause pain, then they will need hip screw removal surgery.
Hip screw removal is usually easy. The surgeon will make a small incision in the location of the screw and twist the screw until it comes out.
Hip nailing vs ORIF
Open reduction and internal fixation (ORIF) is a surgery that is performed to treat thigh fracture that involves breaking the bone into 2 pieces or more. This is while hip nailing surgery is performed when the fracture does not require repositioning of the broken bone.
Hip nailing and pregnancy
In case a pregnant woman needed hip nailing surgery, she should ask her gynecologist if it is OK to have the surgery depending on her condition. Hip pinning surgery needs approval from a gynecologist, an orthopedic and an anesthesiologist.
A practical point for your care
Before an operation, the pre-assessment team should review your health, previous tests and all medicines and supplements. Ask for written instructions on medicines, eating, drinking and aftercare that apply to your planned procedure.[1]
Planning treatment in Shiraz
Ask SanaMedTour about the appropriate specialty, appointment arrangements and practical support for your visit. The treating clinician confirms the diagnosis, treatment options, suitability and follow-up after assessment.
Request an itemised written quote identifying the clinician, facility, tests, treatment, medicines, reviews and any accommodation or transfers included.
Sources
[1] NHS: Preparing for surgery — supports the individual-care planning note above. ↑ Back to text
Editorial adaptation: 25 October 2026. General information for planning and discussion; your clinician’s individual instructions take priority.