Fractured Neck of Femur

Physiotherapy for fractured neck of femur surgery

The top part of the thigh bone (femur) near the hip joint is called the neck of the femur. Fractures in this area, known as neck of femur fractures, commonly occur as a result of a fall. They are more frequent in elderly individuals, particularly women, and in people with osteoporosis (thinning of the bones). Osteoporosis weakens the bones, making them more susceptible to injury.

In individuals over the age of 60, treatment for a fractured neck of femur often involves removing the femoral head and replacing it with a metal prosthesis. Alternatively, if the bone has a good blood supply, surgery may involve fixing the fracture with screws or a nail to stabilise the broken bone.

If you require surgery to repair a broken hip, it is usually performed within two days of admission, unless there is a medical reason for a delay.

Physiotherapy after your surgery will help reduce pain and restore your ability to walk on your affected leg.

Physiotherapy before your surgery

You may be seen by a physiotherapist before your surgery to guide you through gentle exercises that help maintain muscle strength and promote circulation in your legs. Your physiotherapist will also provide information and precautions about your surgery and explain what to expect during your recovery.

Symptoms after your surgery

After your operation, it is normal to experience pain and discomfort, which can be managed with pain-relief medication. Your legs may feel weak, and your movement will be limited initially. The doctors and nursing staff will provide daily, personalised care to support your recovery.

A physiotherapist will visit you after your surgery to help you get back on your feet as soon as possible, starting from the first day after your operation. Initially, you may use a walking frame for safety, but as your confidence and mobility improve, you may progress to crutches and walk independently. Your physiotherapist will ensure you are safe on your feet before discharge. The typical hospital stay is around 5 days, depending on your general health and fitness. If you need to practice using steps or stairs, your physiotherapist will guide you. You will also be given gentle exercises for your leg muscles and ankle mobilisation to support recovery.

Physiotherapy following your surgery

Physiotherapy will play a key role in your recovery after leaving hospital. Treatment at acephysiosports.com will help reduce pain, increase your range of movement and muscle strength, and support you in regaining mobility as quickly as possible.

Rehabilitation goals at acephysiosports.com will include:

  • Reduce pain and swelling in the hip and surrounding areas.
  • Restore range of motion at the hip joint.
  • Increase muscle strength in the hip, thigh, and core muscles.
  • Improve balance and coordination to prevent falls.
  • Regain functional mobility for walking, stair climbing, and daily activities.
  • Promote independence in self-care and movement.
  • Prevent complications such as stiffness, contractures, or muscle weakness.
  • Prepare for return to sport or recreational activities, if applicable.

1-2 weeks

An initial assessment with your physiotherapist will evaluate your range of movement, muscle strength, and functional activities, such as sit-to-stand. Based on this assessment, a structured treatment plan will be developed, incorporating goals tailored to your individual needs. During the first few weeks of rehabilitation, your physiotherapist will advise you on movements to avoid. For example, you should not cross your legs or twist your hip inwards or outwards to protect your recovery.

At acephysiosports.com, during the first couple of weeks of your treatment programme, the main goals are to control pain and swelling and gradually improve your range of motion and muscle strength. Physiotherapy will also focus on teaching you to walk safely and correctly.

  • Pain and swelling management – ice, elevation, and gentle soft tissue techniques.
  • Range of motion exercises – gentle hip movements within a safe range.
  • Strengthening exercises – focusing on hip, thigh, and core muscles.
  • Gait training – learning to walk safely using a frame or crutches.
  • Functional mobility practice – sit-to-stand, transfers, and basic daily activities.
  • Education and advice – movements to avoid, posture, and precautions for recovery.

2-6 weeks

During this stage, our physiotherapists at acephysiosports.com will monitor your progress and continue your exercises to increase hip joint range of motion, incorporating resistance exercises. To promote independence, exercises will be tailored around daily activities.

  • Resistance exercises – using bands or light weights to strengthen hip and thigh muscles.
  • Range of motion exercises – progressively increasing hip mobility.
  • Functional task training – practising movements used in daily activities, such as sitting, standing, and reaching.
  • Gait training – improving walking technique, balance, and endurance.
  • Balance and proprioception exercises – to enhance stability and prevent falls.
  • Stretching exercises – to maintain flexibility and reduce stiffness.

6-12 weeks

At this stage of your rehabilitation, your physiotherapist at acephysiosports.com will focus on regaining independence with the everyday activities that are important to you. Treatment will continue with exercises to improve flexibility and strength in the muscles around your hip and enhance balance. Physiotherapy will also aim to promote mobility and increase your confidence around your home.

12+ weeks

Recovery from surgery may take up to 6 months, but with the support of physiotherapy, you can achieve a full recovery as quickly as possible. At this stage, your physiotherapist will focus on helping you reach your maximum potential in daily activities. Treatment will aim to improve your independence and enhance your quality of life.

Summary

For more information, call acephysiosports.com now on +65 8153 5374, or to book an appointment, please contact us.

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