A one year follow up was conducted on 87 patients above 60 years of age who sustained a hip fracture following a trivial injury. All patients admitted to the University Malaya Medical Center between October 1995 and September 1996 were screened and treated according following standard treatment protocols. An activity of daily living index i.e. the Barthel Index was administered both at admission and one year later. Information was obtained either through the telephone or directly from the patient at the clinic. The one year mortality rate was 26% while that at six months was 22%, with patients in the above 80 years group showing a 50% mortality. We found no correlation between the mortality rate and the duration of hospital stay, delay before surgery, ASA grade premorbid medical conditions, type of fracture or premorbid activity level. There was no deterioration of dependency after three months following discharge. The mortality rate was similar to other studies. The level of disability following fracture suggests ongoing home is needed and that domiciliary rehabilitation within the first six months of discharge may needed.