Prognosis for a broken hip in an older adult

A hip fracture can affect walking, balance, confidence, and independence. Some people return close to their previous level of activity, while others need a walking aid, home support, or a change in living arrangements. Delirium, chest problems, blood clots, infection, and loss of strength are concerns during recovery, especially when a person remains in bed. The care team also looks for osteoporosis and falls risks so another fracture is less likely.

The fracture location and bone quality influence whether repair, replacement, or another approach is appropriate. Recovery is measured through pain control, safe transfers, walking distance, self-care, and the ability to manage stairs rather than by an image alone.

Follow the weight-bearing instructions and begin movement when the surgical and rehabilitation teams say it is safe. Physiotherapy may practise standing, transfers, gait, strength, and balance. Adequate food, fluids, sleep, and review of medicines can support participation. Ask about bone-health assessment, fall-proofing at home, and whether bisphosphonate therapy is suitable. See [Hip Fracture Surgery](/treatments/trauma-and-fracture-care/hip-fracture-surgery/) and [Post-Operative Rehabilitation](/treatments/physiotherapy-and-rehabilitation/post-operative-rehabilitation/) for related explanations.

Seek urgent medical help for new chest pain, severe breathlessness, fainting, sudden confusion, or a painful swollen calf. Contact the treating team promptly for fever, worsening wound redness or drainage, uncontrolled pain, a new inability to stand, or a sudden change in leg position. New hip pain or limping after a fall should be assessed; these symptoms do not by themselves establish a new fracture. More on [Hip Pain](/symptoms/hip-pain/) and [Limping](/symptoms/limping/).

Which fracture pattern was found, and what weight can be placed on the leg? What milestones should guide walking and self-care? Which medicines, exercises, and home changes reduce fall and bone-fracture risks? What symptoms should prompt a same-day call?