Fractured Neck of Femur/ ‘hip fracture’

Fractured Neck of Femur/ ‘hip fracture’


The femur is the bone that sits in between the hip and knee. It is the longest and strongest bone in the body, however this does not mean that it isn’t prone to damage. The femur is most commonly fractured by a fall and tends to break an area in the top region called ‘the neck’. This area is susceptible to fracture as it is the narrowest part of the femur.

There are a number of factors that increase the risk of a hip fracture. These include low bone density, reduced muscle mass, age and sex. 90% of fractured hips occur in those over 70 years old and 70% of hip fractures occur in women.

The most common form of treatment is surgery. A dynamic hip screw is used for both stable and unstable fractures where a place is placed along the outside of the femur and screws go into the bone and hold the fractures in place. Other surgeries include hemiartroplasty (where the head of the femur is replaced by a metal prosthesis), total hip replacement and intramedullary nail where a long rod is inserted into the medullary cavity of the femur.

Physiotherapy is a huge factor in terms of recovery after a fractured neck of femur. Day 1 after surgery, you are typically sat out of bed into a chair with the help of a physiotherapist and the multidisciplinary team. You will be encouraged to increase your mobility daily whilst in hospital and will be given exercises which will help to strengthen your leg, increase range of movement and improve circulation.

Your rehabilitation does not stop when you leave hospital. It is so important to continue with walking practice and exercises. Physiotherapy plays a huge role in the long term rehab following a fractured neck of femur. A physiotherapist will progress your exercises, encourage mobility and assist you in returning to your previous level of function. At Silver Physio, we do just this. We are here to help speed up your recovery from your fracture.

To arrange a home visit and get your rehab started ASAP, email us at or telephone: 020 3637 8988.