How a broken hip is fixed

A hip fracture is a break in the upper thigh bone near the hip joint. It may cause sudden hip or groin pain, inability to stand, shortening or rotation of the leg, or new [Limping](/symptoms/limping/). Some people can still move the leg, so the ability to walk does not rule it out. [Hip Pain](/symptoms/hip-pain/) after a fall or direct impact needs prompt assessment, especially in an older adult or anyone with fragile bones.

Do not try to walk on a suspected fracture or straighten the leg. Keep the person warm and still, and arrange emergency transport. In hospital, clinicians assess the injury, pain, general health, medicines, and bone health. Depending on the fracture location and stability, treatment may involve screws, a plate, a nail, or replacement of part or all of the joint. Details of [Hip Fracture Surgery](/treatments/trauma-and-fracture-care/hip-fracture-surgery/) depend on the individual fracture. Mobilisation and [Post-Operative Rehabilitation](/treatments/physiotherapy-and-rehabilitation/post-operative-rehabilitation/) help rebuild transfers, walking, strength, and confidence. Bone-protection treatment, including [Bisphosphonate Therapy](/treatments/non-surgical-orthopedics/bisphosphonate-therapy/), may be discussed when appropriate.

Call emergency services after a fall when there is severe hip or groin pain, inability to stand, a visibly shortened or turned-out leg, or sudden inability to bear weight. Do not drive the injured person. After treatment, urgent review is needed for worsening wound redness, fever, new calf swelling, chest pain, breathing difficulty, or sudden loss of movement.

Ask: Where is the fracture and how stable is it? Which repair or replacement is advised, and why? What weight can I put through the leg? When does rehabilitation begin? How will falls and bone weakness be addressed?