Recovering from hip fracture surgery occurs in distinct phases over several months. While the timeline varies between individuals, understanding the different stages of recovery can help patients and caregivers prepare for what to expect. This article outlines the recovery process, from the hospital stay through rehabilitation and the return to daily activities.
First Few Days After Surgery (Days 1-3)
The initial recovery phase focuses on pain control, early movement, and monitoring for complications.
Managing Pain
Pain relief is provided on a set schedule to keep discomfort under control while allowing participation in mobility exercises. Medication types and dosages are adjusted based on individual needs as recovery progresses.
Early Movement and Physiotherapy
Physiotherapy typically begins within 24 hours after surgery, starting with simple bed exercises to maintain circulation and prevent stiffness. Patients then progress to sitting at the edge of the bed, with the goal of standing and taking their first steps under supervision.
Medical Monitoring
Regular evaluations assess vital signs, wound healing, and circulation in the operated leg. Blood tests may be conducted to detect potential infections or other post-surgical complications, ensuring recovery is progressing as expected.
Early Recovery Phase (Days 4-14)
During this stage, most patients are discharged from the hospital and focus on regaining mobility and self-care skills at home.
Walking and Mobility Practice
Patients gradually adapt to using walking aids such as frames or crutches for stability. Walking distances increase over time, with a focus on maintaining proper posture and adhering to weight-bearing guidelines for joint protection.
Daily Living Adjustments
Adjustments to daily routines help patients safely perform tasks such as dressing, bathing, and getting in and out of bed while following hip precautions. Using adaptive techniques and mobility aids can improve independence and ease movement during recovery.
Wound Care and Monitoring
Monitoring the surgical site for signs of infection or delayed healing is necessary. Patients receive guidance on wound care, including how to keep the area clean and when to seek medical attention for redness, swelling, excessive drainage, or other concerning symptoms.
Building Strength and Independence (Weeks 2-6)
This phase focuses on improving strength, stability, and confidence in movement.
Home-Based Exercises
A structured exercise programme helps strengthen the hip and leg muscles. Exercises are typically performed two to three times daily, progressing gradually in difficulty to enhance stability and mobility.
Progressing Mobility
Most patients transition from a walking frame to crutches or a single walking stick as their balance and strength improve. Walking distances increase, both indoors and outdoors, to build endurance.
Modifying Activities for Safety
Patients develop strategies for climbing stairs, getting in and out of cars, and managing light household tasks while reducing strain on the healing hip.
Resuming Everyday Activities (Weeks 6-12)
During this stage, patients continue improving their strength and balance while gradually returning to daily routines.
Strength and Endurance Training
Exercise routines expand to include resistance exercises and balance training, which helps reduce the risk of falls.
Returning to Community Activities
Patients start performing light household chores and short outings. Driving may resume around 6-8 weeks post-surgery after medical clearance, depending on strength and coordination.
Gait Training and Walking Independence
Walking practice continues, with reduced reliance on walking aids. Physiotherapists monitor gait patterns and posture, addressing any imbalances to improve walking efficiency.
Long-Term Recovery and Bone Healing (3-6 Months)
The final recovery stage focuses on regaining full function, increasing activity levels, and ensuring proper bone healing.
Advanced Exercise and Rehabilitation
With medical clearance, patients may incorporate stationary cycling, swimming, or gym-based strengthening exercises to improve endurance and joint flexibility.
Full Return to Daily Activities
Most individuals resume normal household and community tasks, though high-impact activities remain restricted to protect the hip joint.
Bone Healing Progress
X-rays are typically taken around six months post-surgery to confirm bone healing. Follow-up appointments assess hip alignment, mobility, and any remaining functional limitations.
Conclusion
Recovering from hip fracture surgery is a gradual process, with each phase building upon the previous one. Following medical advice, engaging consistently in rehabilitation, and making necessary adjustments at each stage contribute to better mobility and independence over time.
If you are preparing for or recovering from hip fracture surgery, schedule a consultation to discuss your rehabilitation plan and recovery goals.
