Fracture of the femoral neck is a serious and costly injury in older adults and is a substantial cause of morbidity and mortality. Around 75,000 cases occur each year in the UK requiring hospital admission, surgery, and anaesthesia, followed by weeks of rehabilitation both in and out of the hospital. Worldwide, the number of cases is projected to increase to over 4.5 million per year by 2050. According to the National Hip Fracture Database (NHFD), patients with hip fractures had a median length of hospital stay (LOS) of 21.1 days and a 30-day mortality rate of 6.4% in 2022.

These fractures are often the consequence of frailty and osteoporosis, and are usually related to falls. These risk factors are especially prominent in the elderly population, who also possess multiple comorbidities that put them at a high risk for complications. Only 40–60% of these patients regain their pre-fracture level of mobility and ability to perform daily living activities within 1 year after suffering a hip fracture.1 Thus, prompt multidisciplinary care, timely surgical intervention, effective analgesia, and early mobilization are essential.