One hundred and twenty-one patients aged 60 years or older with a surgically treated hip fracture were randomized to receive either a 12-month home-based, physiotherapist-supervised exercise intervention (n=61) or usual care (n=60). The primary outcome of interest was the total 15D health-related quality of life (HRQoL) score. Secondary outcomes included individual dimension scores on the 15D (e.g., mobility, usual activities), assessed at 3, 6, and 12 months. Overall, the results of the study revealed that the exercise group did not show a statistically significant improvement in HRQoL compared to the usual care group. However, both groups showed improvements in mobility and usual activities over time. This suggests that while exercise may support recovery in specific physical functions, it does not significantly impact overall HRQoL compared to usual care.