Hip Fracture Surgery in Older Adults: What to Know

The surgeon may repair the broken bone with screws, a plate or an intramedullary nail, or replace part of the hip joint when the fracture affects the joint's blood supply or stability. The choice depends on the fracture pattern, general health, mobility before the fall and ability to take part in recovery. Anaesthesia, blood tests and a medication review are commonly arranged before surgery.

Older adults may also need assessment for dehydration, delirium risk, heart or lung problems, and the cause of the fall. Read more about Hip Fracture and Hip Fracture Surgery.

Ask the team what weight can be placed through the operated leg and use the prescribed walking aid. Physiotherapy often begins in hospital with transfers, standing, a few steps and exercises for strength and circulation. At home, keep pathways clear, use recommended bathroom supports, take medicines exactly as directed and attend follow-up appointments. Post-Operative Rehabilitation and a Falls Prevention Programme can help structure the next stage.

Contact the surgical team urgently for increasing wound redness, drainage, fever, sudden worsening pain, a new inability to stand, or a leg that becomes markedly swollen or shortened. Seek emergency help for chest pain, severe breathlessness, fainting, or new confusion. A fall during recovery should be reported even if the wound looks unchanged.

Which repair was used, and what weight-bearing level is allowed? When should walking practice start? Which medicines need adjustment? What changes at the wound or in alertness should prompt a call? Who will arrange physiotherapy and equipment for home?