Hip fracture recovery: Best ways to recover after hip fracture surgery
A hip fracture can be a frightening experience, particularly for older adults and their families. After surgery, many people worry about how long recovery will take and whether they will regain their independence, but with the right rehabilitation and support, many people can regain mobility and return to their normal activities.
This article explains:
Common types of hip fracture surgery
What to expect during recovery
Evidence-based strategies that help people get back on their feet safely
Common types of surgery for hip fractures
The type of surgery depends on a number of factors including the location of the fracture, bone quality, and overall health of the person.
Total hip arthroplasty (total hip replacement)
A total hip replacement replaces both parts of the hip joint:
the ball at the top of the thigh bone (femur)
the socket in the pelvis
Artificial components are used to create a new joint surface.
This procedure may be used when the fracture involves the joint surface or when there is pre-existing arthritis.
Hip precautions
Some patients are advised to follow hip precautions in the early weeks after surgery, which may include:
avoiding bending the hip beyond 90°
avoiding crossing the legs
avoiding twisting the operated leg
However, modern surgical approaches sometimes allow fewer movement restrictions, and not everyone is given strict precautions. Always follow the guidance provided by your surgeon and physiotherapist.
Hemiarthroplasty (partial hip replacement)
A hemiarthroplasty replaces only the ball of the hip joint, while the socket remains natural.
This is one of the most common procedures used after a fractured neck of femur, particularly in older adults.
Many people are allowed to weight bear as tolerated soon after surgery.
Dynamic hip screw (DHS)
Instead of replacing the joint, some fractures are stabilised using metal implants.
A dynamic hip screw involves:
a large screw placed into the femoral head
a plate fixed along the femur
This stabilises the fracture while the bone heals around it.
How to optimise recovery after hip fracture surgery
Recovery after a hip fracture involves surgery, rehabilitation, and gradual return to activity.
Evidence consistently shows that early movement and physiotherapy play a crucial role in recovery.
1. Start moving early
One of the most important steps in hip fracture recovery is early mobilisation.
Clinical guidelines recommend that patients are assessed by physiotherapy and mobilised the day of or after surgery, unless there are medical reasons preventing this.
Early mobilisation helps to:
restore walking ability
reduce muscle weakness
lower the risk of complications such as blood clots and chest infections
improve independence
Research also shows that patients who start moving earlier walk further and regain independence more quickly than those who remain in bed longer.
2. Do your physiotherapy exercises
Exercise is a key part of hip fracture rehabilitation.
Physiotherapy programmes usually focus on:
strengthening the hip and leg muscles
improving balance
retraining walking patterns
restoring everyday movements such as standing up from a chair
Evidence-based rehabilitation often includes:
progressive strengthening exercises
balance training
gait training
functional exercises related to daily activities
Consistency matters more than intensity in the early stages — doing your exercises little and often can help build strength safely.
3. Gradually increase your walking and activity
After hip fracture surgery, activity should increase gradually and safely.
Early stages may involve:
short walks indoors with a walking frame
practising transfers such as getting in and out of bed or chairs
As strength and confidence improve, people progress to:
walking longer distances
outdoor walking
reducing reliance on walking aids
Recovery timelines vary, but many people continue improving for several months after surgery.
4. Manage pain effectively
Pain is normal after hip fracture surgery, but poor pain control can slow down rehabilitation.
Good pain management helps people:
move more comfortably
complete physiotherapy exercises
walk with greater confidence
Pain management may include:
prescribed or over the counter medication
ice or cold therapy
pacing activity
gentle movement
Adequate pain control is also important to allow early mobilisation after surgery, which is linked with better recovery outcomes.
5. Reduce the risk of future falls
Preventing another fall is a vital part of recovery.
After a hip fracture, physiotherapy often includes balance training and falls prevention strategies.
Helpful changes at home may include:
removing loose rugs or clutter
improving lighting
wearing supportive footwear
using walking aids correctly
Continuing with strengthening and balance exercises can also reduce the risk of future falls.
How long does hip fracture recovery take?
Every recovery is different, but general timelines often look like this:
First few days
standing and walking with physiotherapy support
First 6 weeks
improving mobility and strength
walking short distances with aids
6–12 weeks
building endurance and confidence
3–6 months
continued strength and balance improvement
The goal of rehabilitation is to help people return to their previous level of independence where possible.
When to seek extra help
You should contact your healthcare professional if you experience:
increasing pain
worsening swelling or redness
difficulty weight bearing
signs of infection
A physiotherapist can also help if you feel your recovery has stalled or you lack confidence with walking.
How physiotherapy can help after a hip fracture
Physiotherapy plays a key role in helping people:
regain strength
improve balance
walk safely again
return to daily activities
Rehabilitation programmes tailored to your goals and abilities can significantly improve recovery and independence.
Need help with hip fracture recovery?
If you or a family member are recovering from hip fracture surgery and would like support with rehabilitation, mobility, or confidence building, physiotherapy can help.
Learn more about my physiotherapy services here or get in touch using the details on my contact page to discuss how a personalised rehabilitation programme could support your recovery.
Sources:
NICE Guidelines. Hip Fracture: management.https://www.nice.org.uk/guidance/cg124
Early mobilisation in hip fracture recovery: transforming outcomes, tackling challenges. https://academic.oup.com/ageing/article/54/8/afaf221/8229709
