How long does it take a broken hip to heal

What to Know About Surgery for Hip Fractures

So, you’ve broken your hip. Whether it was from a fall, a blow to your hip, or something else, you’ll do best if you have surgery right away. But first, your doctor might want to do some tests to make sure you’re strong enough for the procedure.

Your treatment will likely combine surgery, rehab, and meds to help you manage pain.

What Type of Surgery Do I Need?

Your doctor will judge your health and the way you broke your hip to decide which of the following methods is best:

  • Internal repair. Your surgeon inserts screws into your bone. This holds it together while the fracture heals. Sometimes they’ll attach the screws to a metal plate placed along your thighbone.
  • Partial hip replacement. This is usually done if the ends of the fractured bone are damaged or out of place. Your surgeon will replace the top of the bone with a metal prosthesis. That’s a substitute for a missing part.
  • Total hip replacement. This is a good option if your joint has been damaged by arthritis or another injury. Your surgeon replaces your upper femur (your thighbone) and the socket in your pelvic bone with prostheses.

Hip replacement options are good choices if the fracture damages the blood supply to the ball part of your hip joint. This is the part that lets your upper leg bend and rotate. Not having enough blood supply keeps the bone from healing as well.

Can I Go Home Afterward?

You might. Or you could choose to go straight to a rehab facility where you can start your recovery treatment right away.

You’ll probably need help getting out of bed the day after your operation. A physical therapist will work with you for as long as you need to get strong and walk again. This can take as long as 3 months.

What About Pain?

Your doctor will help you manage it so you can feel better and heal faster. They’ll give you short-term pain relief medicine. They’ll likely combine drugs that keep down swelling and local anesthetics that numb the surgery site.

Most patients need to take medicine to thin their blood. This cuts down the chances of having blood clots. Special compression socks or boots that support your leg and improve blood flow can help, too.

Are the Medicines Addictive?

Your doctor might be wary of prescribing drugs called opioids. These are narcotics that relieve pain by blocking the signal to your brain. They work but can be very addictive. It’s important to take them only as instructed. As soon as the pain gets better, stop.

Follow-up Care

During your appointments after surgery, your surgeon will check the wound, remove any stitches, and take X-rays. They’ll see how your physical therapy is going and decide whether you need more.

An occupational therapist can help you get back in the swing of daily life, too. This can include practical things like bathing, dressing, cooking, and going to the bathroom.

You’re likely to get back much -- and maybe all -- of the freedom and mobility you had before.

What If It Happens Again?

About 20% of people who have a hip fracture will have another within 2 years. You may lower the chances of this by figuring out what caused it the first time.

A drug called a bisphosphonate can reduce your risk. It stops your bones from getting weak. But if you take it by mouth, it can have side effects. Your doctor might want you to have it through an IV tube.

Hip fractures are cracks or breaks in the top of the thigh bone (femur) close to the hip joint. They're usually caused by a fall or an injury to the side of the hip, but may occasionally be caused by a health condition, such as cancer that weakens the hip bone.

Falls are very common among older people, especially in people aged 80 and over, who may have reduced vision or mobility and balance problems.

Hip fractures are also more common in women, who are more likely to get osteoporosis, a condition which makes bones weak and fragile.

Symptoms of a hip fracture 

Symptoms of a hip fracture after a fall may include:

  • pain
  • not being able to lift, move or rotate (turn) your leg
  • not being able to stand or put weight on your leg
  • bruising and swelling around your hip
  • your injured leg appearing shorter than your other leg
  • your injured leg turning outwards

A hip fracture will not necessarily cause bruising or prevent you from standing or walking.

When to seek medical help

If you think you've fractured your hip, you'll need to go to hospital as soon as possible. Call 999 and ask for an ambulance.

Try not to move while you're waiting for the ambulance and make sure you keep warm.

If you've fallen, you may feel shaken or shocked, but try not to panic. Try to get someone's attention by:

  • calling out for help
  • banging on the wall or the floor
  • using your aid call button (if you have one)

Find out more about what to do after a fall.

Hospital assessment

After arriving at hospital with a suspected hip fracture, your overall condition will be assessed. The doctor doing the assessment may:

  • ask how you were injured and if you had a fall
  • ask if this is the first time you've fallen (if you did fall)
  • ask about any health conditions you have
  • ask if you're taking any medicine
  • assess how much pain you feel
  • assess your mental state (if you fell and hit your head, you may be confused)
  • take your temperature
  • make sure you're not dehydrated

Depending on the outcome of your assessment, you may be given:

  • painkilling medicine
  • a local anaesthetic injection near your hip
  • intravenous fluid (fluid through a needle into a vein in your arm)

The healthcare professionals treating you will make sure you're warm and comfortable. After a while, you may be moved from the emergency department to a ward, such as an orthopaedic ward.

To confirm whether your hip has been fractured, you may have imaging tests such as:

  • an X-ray
  • an MRI scan
  • a CT scan

Treating a hip fracture

Surgery is usually the only treatment option for a hip fracture.

The National Institute for Health and Care Excellence (NICE) recommends that someone with a hip fracture should have surgery within 48 hours of admission to hospital.

However, surgery may sometimes be delayed if the person is unwell with another health condition and treating that condition first will significantly improve the outcome of their hip surgery.

In about half of all cases, a partial or complete hip replacement is needed. The other cases require surgery to fix the fracture with plates and screws or rods.

The type of surgery you have will depend on several factors, including:

  • the type of fracture (where on the femur it is)
  • your age
  • your level of mobility before the fracture
  • the condition of the bone and joint – for example, whether or not you have arthritis

Find out more about treating a hip fracture.

Recovering from hip surgery

The aim after surgery is to speed up recovery to help you regain mobility.

The day after surgery, you should have a physiotherapy assessment and be given a rehabilitation programme that includes realistic goals for you to achieve during your recovery. The aim is to help you regain your mobility and independence so you can return home as soon as possible.

How long you'll need to stay in hospital will depend on your condition and mobility. It may be possible to be discharged after around 1 week, but most people need to stay in hospital for around 2 weeks.

Evidence suggests that prompt surgery and a tailored rehabilitation programme that starts as soon as possible after surgery can significantly improve a person's life, reduce the length of their hospital stay and help them recover their mobility faster.

Find out more about recovering from a hip fracture.

It may also be useful to read our guide to social care and support services, which is not only for people with care and support needs, but their carers and relatives too. It includes information and advice on:

  • Arranging care before you leave hospital
  • transport and getting around with mobility issues
  • rehabilitation or 'reablement' services
  • choosing mobility equipment, wheelchairs and scooters

Complications of hip surgery

Complications can happen from surgery, including:

  • infection – this requires further treatment and often further surgery
  • blood clots – these can form in the deep veins of the leg, called deep vein thrombosis (DVT), as a result of reduced movement. You can reduce your risk of DVT by wearing special stockings, doing exercises and taking medicine
  • bedsores (pressure ulcers) – these can happen on areas of skin under constant pressure from being in a chair or bed for long periods of time

Your surgeon should discuss these and any other risks with you.

Preventing hip fractures

It may be possible to prevent further hip fractures by taking steps to prevent falls and by treating osteoporosis.

You can reduce your risk of falling by:

  • using walking aids, such as a walking stick
  • assessing your home for hazards, such as loose carpeting, and making it safer
  • doing exercises to improve your balance

Find out more about preventing falls.

Hip protectors

Hip protectors can be used to reduce the impact of a fall and are particularly useful for preventing hip fractures in older people.

Hip protectors are padded material and plastic shields attached to specially designed underwear. The pads absorb the shock of a fall and the plastic shields divert the impact away from vulnerable areas of the hip.

In the past, one of the biggest issues with hip protectors was that many people found them uncomfortable and stopped wearing them. Modern hip protectors have tried to address this by having a more comfortable fit and additional features, such as ventilation to reduce sweating.

NICE suggests hip protectors may be useful for older people in care homes who are at high risk of a fall. They're thought to be less effective for elderly people who remain active and live in their own home.

Read the full NICE guideline on falls: assessment and prevention of falls in older people.

The FRAX tool

The World Health Organization (WHO) has developed a fracture risk assessment tool to help predict the risk of fracture for people aged 40 to 90.

The tool is based on bone mineral density (BMD) and other risk factors such as age, sex and certain health conditions.

Information:

Social care and support guide

If you:

  • need help with day-to-day living because of illness or disability
  • care for someone regularly because they're ill, older or disabled, including family members

Our guide to social care and support explains your options and where you can get support.

Page last reviewed: 03 October 2019
Next review due: 03 October 2022

What helps a broken hip heal faster?

Heal faster after hip fracture surgery with the following tips and tricks:.
Use an abductor pillow to separate the legs when lying down..
Keep the head of the bed elevated at 45 degrees..
Do not flex your hip more than 90 degrees..
Avoid crossing your legs..
Consider raising your toilet seat using an assistive device..

Can you still walk with a broken hip?

Limited mobility: Most people with a hip fracture can't stand or walk. Sometimes, it may be possible to walk, but it's extremely painful to put weight on the leg. Physical changes: You may have a bruise on your hip. One of your legs may appear shorter than the other.

How long do you stay in hospital with a fractured hip?

How long you'll need to stay in hospital will depend on your condition and mobility. It may be possible to be discharged after around 1 week, but most people need to stay in hospital for around 2 weeks.

How painful is a broken hip?

A broken hip is a serious injury that is very painful and can keep you from walking. People with broken hips may be at risk for other problems, such as pneumonia, blood clots, and muscle weakness. Some problems can be life threatening.