Can a broken hip be managed without surgery?

Examples include a stable fracture that has not moved, or a situation in which an operation would not support the person's goals or would place an unacceptable burden on their health. An orthopaedic and medical assessment is needed before making that choice.

Treatment without surgery is an active care plan rather than simply waiting. It can include pain relief, careful positioning, pressure-area protection, clot prevention, nutrition support, and assistance with washing and toileting. The team sets safe movement or weight-bearing limits based on the fracture.

For a stable injury, repeat imaging may check that the bone has not shifted. When care is focused on comfort because of severe frailty or advanced illness, clinicians should explain symptom control, expected mobility, nursing needs, and support for family or carers.

Take pain medicines on the agreed schedule and report if discomfort still prevents turning, breathing deeply, sleeping, or basic care. Do not test the leg by standing unless the clinical team has permitted it. Use trained help and the specified equipment for every transfer.

Change position as advised, inspect vulnerable skin, maintain food and fluid intake where medically appropriate, and complete permitted ankle or breathing exercises. Keep follow-up imaging and orthopaedic appointments because a change in fracture position can alter the recommendation.

Call emergency services for severe breathlessness, chest pain, collapse, or sudden reduced responsiveness. Request urgent medical review for pain that abruptly worsens, a newly shortened or rotated leg, a cold or numb foot, fever, repeated vomiting, or new confusion.

A swollen painful calf, skin that is breaking down, inability to manage essential care, or side effects that prevent pain medicine from being taken also need prompt contact with the care team. Escalation is based on the warning sign itself, even when comfort is the main goal.

Ask why non-operative care is being recommended, whether the fracture is stable, and what might lead to surgery being reconsidered. Clarify the movement plan, pain options, prevention of pressure injuries and clots, likely care setting, follow-up arrangements, and whom to call overnight if symptoms become difficult to control.