If you have fallen and fractured your hip, you’ll need an operation to repair it. If you have hip degeneration and have chosen to have surgery to reduce ongoing pain, you can find out more about your planned hip replacement operation.
The information here will help you understand your injury, guide you through your rehabilitation and explain what you can do to maximise your recovery after hip fracture surgery.
During the COVID-19 risk period, wherever possible we’ll be reducing face-to-face appointments and helping you manage your injury remotely. This means that, in accordance with the British Orthopaedic Association guidelines, your individual treatment and follow up plan may be different to what happens under normal conditions. An orthopaedic consultant or a member of the orthopaedic team will always review your notes and x-ray and decide if a face-to-face follow up is necessary.
If we haven’t asked to see you for a follow-up, we may offer you an open appointment, where you can make an appointment to see someone at any time in the six months after your injury. If you’d like to book an appointment, please call 01736 758892.
You have fractured your hip at the top of your thigh bone where the ball and joint socket meets your pelvis.
You might hear a hip fracture described as a ‘fractured neck of femur’ or a ‘fracture of the proximal femur’.
You have had one of the following operations, depending on where you’ve broken your hip.
You have had a dynamic hip screw device (DHS) inserted to hold your broken thigh bone together while it heals.
A DHS is a fixation screw and plate which treats a fracture to the neck of your femur. It will stay in place permanently, even after your fracture has healed.
You have had a hemiarthroplasty operation to replace one half of your hip joint (head of the femur or ‘ball’ part of the joint). The socket part remains intact.
This operation happens if your fracture damages the head of the femur. We will remove the fractured head of the femur and replace it with a prosthesis or artificial component.
Most patients will not need a follow-up appointment after surgery. We’ll tell you when we discharge you from hospital if we need to see you again or if we feel you may benefit from further physiotherapy input.
Please contact the Fracture Clinic on 01872 253091 if:
The bones, soft tissues and muscles surrounding your hip will take time to heal. It’s important to take extra care for the first few weeks following your operation.
We encourage you to move as soon as possible. Make sure you take pain relief to help you to do this.
We’ll help you sit out of bed and walk using a walking aid. This will reduce your risk of a blood clot or deep vein thrombosis (DVT) which can happen when you move less than normal after surgery.
If you’ve had a dynamic hip screw operation, your medical team will tell you how much weight to put through your leg on your operated hip. Your physiotherapist will show you how to do this safely before we discharge you.
If you’ve had a hemiarthroplasty operation, you can put as much weight as you can tolerate through your operated leg unless we tell you otherwise. Your physiotherapist will teach you how to do this safely before we discharge you.
It is very normal to feel less confident after a hip fracture and hip surgery. It takes time for surgical pain to ease, swelling to go down, the bone to heal and to recover strength.
You may be able to return to your own home or you may need to stay with family or friends. Your doctor and physiotherapists will discuss this with you and help you decide depending on:
We’ll give you crutches or a frame to help you walk at home. We may also refer you to physiotherapy as an outpatient, if we feel this will benefit you.
After your operation, you may feel some pain for a few weeks. Use this to guide you when increasing your daily activities.
You may have swelling in your leg for up to 3 months after your operation. Resting on a bed with your legs raised for a few hours each day will help you manage it.
The swelling may be quite severe and you may also feel it in your foot and ankle. This is very common. The blood thinning medication, which reduces your risk of developing blood clots in your leg, can cause more severe swelling.
You may need to stop taking the medication for a few days. Check with your GP or the Fracture Clinic before you do this.
Severe swelling may cause your skin to blister. If that happens, contact your GP or the Fracture Clinic immediately.
If the area around the wound becomes red, gets more painful, discharges pus or you feel unwell with a high temperature, call 111 immediately. There’s more information about signs of infection and sepsis in the preventing complications section further down this page.
You can also read our patient information leaflet about managing a fracture related infection.
Early movement will help your injury heal and prevent further complications such as deep vein thrombosis (DVT).
When you get home you’ll be able to:
You may be able to use the stairs. We will have practised this with you in hospital to ensure your safe discharge back home.
It’s best to wash and dress sitting down. Wear loose clothing for ease and comfort.
Your occupational therapist (OT) will explain the best way to do this and give you any equipment you need while you’re in hospital.
Use your frame or crutches until you can put your full weight through your injured leg and feel confident to move without them.
When you can put your full weight through your leg, you may walk with a limp due to muscle weakness in your hip. If you’re limping, keep using your walking aid until it improves. The exercises below will help strengthen your hip.
Some people may always need a walking aid.
Watch these videos on how to walk with crutches.
You can start to gradually increase the distance you walk each day after 2 weeks.
Take one step at a time. Hold onto the handrail if you have one. We’ll show you how to manage stairs before you leave the hospital.
Take both crutches in your other hand as shown by your physiotherapist.
Watch these videos on how to walk with crutches including how to walk up and down the stairs and follow the instructions below.
Watch these videos on how to stand up and sit down using crutches and follow the instructions and pictures below.
Do not use the frame to pull yourself up.
Do not sit down with your hands still on the frame or crutches.
These exercises will help strengthen your hip and maximise your recovery.
Start these exercises the day after your operation.
Try to do 10 of each exercise on both legs, 4 times a day. Your physiotherapist will show you how to do them.
Use a plastic bag underneath your heel. This will stop any friction.
After a week, you should be mobile and comfortable using your frame or crutches.
Make sure you hold onto a firm surface for all standing exercises.
Do 10 of each exercise, 4 times a day.
Use a chair to support yourself.
Do this exercise ONLY if you’ve had a DHS operation.
Use a chair to support yourself.
Do this exercise ONLY if you’ve had a DHS operation.
Use a chair to support yourself.
You can try the following exercises if you feel able to. If you feel they’re too difficult, either miss them out or come back to them at a later stage.
Gradually increase the distance you walk each day. If you feel able you may wean yourself off your walking aids, but we recommend using them if you still have a limp.
Do this exercise after 2 weeks ONLY if you’ve had a hemiarthroplasty.
Use a chair to support yourself.
To make this harder, try to let go of your support only if you feel safe to do so.
Once your wound has completely healed you can massage gently around the scar to prevent permanent scarring. Massaging scar tissue can improve the healing of the wound site and break down scar tissue which can become painful. Use your thumb to make small circular movements along and around the scar. You can use an oil or an unperfumed body lotion to do this. Please talk with your physiotherapist if you’re unsure and they can show you how to perform scar massage.
Decisions to return to work are made on a unique basis depending on your particular job role and operation and should be discussed with the surgeon, your GP and your employer.
You may need time off work and when you return, you may need light or amended duties. When you should return to work will depend on your profession and your injury.
You can get a fitness for work statement or a sick note from your GP or before you leave hospital.
You can return to driving when:
You can usually drive 6 weeks after your operation. If you have an automatic car and have injured your left leg, you may be fit to drive sooner. However, you must let your insurance company know that you have had an operation as insurance can be invalid according to each insurance company.
Always test your ability to drive with the ignition off and in a safe environment.
If you’re in any doubt, do not drive until you have spoken to our team.
We recommend low impact activities such as walking or gardening. When you feel you can get into the pool safely, you can return to swimming.
You should avoid high impact activities and heavy lifting until at least 12 weeks after your operation.