Optimizing outcome once a patient's femoral neck fracture has been operated on

Abstract Traditionally hip fractures are viewed as an overall marker of physical frailty and are associated with high mortality rates. With the introduction of clinical guidelines and financial rewards for maintaining best practice, outcomes are slowly improving. Secondary prevention and falls prevention measures have even started to reduce the incidence of fractures occurring. Many factors affect the postoperative outcomes following the surgical management of hip fracture. Early multidisciplinary team involvement and continuation post-discharge is paramount. Appropriate medical co-morbidity management, both immediate and long term, improves morbidity and mortality. Secondary prevention of falls and bone health assessment and treatment are essential components of postoperative and long-term care. Despite general improvements, we should remain aware that most patients do not return to full function and should be counselled with their families and carers about this possibility. Involvement of patients' families is a key aspect of care and can improve long-term outcomes and compliance with treatment.