The major concern is the complications associated with hip fractures due to immobility
The elderly who is bed bound after a hip fracture would easily succumb to chest infection, urinary tract infection, bed sores, deep vein thrombosis, muscle wasting and delirium.
They may also become depressed.
Therefore, surgery is advisable soonest possible if there are no major contraindications.
The benefit of early surgery is early mobilization.
This will prevent the associated complications of concern.
Furthermore, early surgery and early mobilization will lead to a satisfactory functional restoration.