Sixty-one elderly patients with acute femoral neck fractures who underwent total hip arthroplasty were randomized to receive either a mobile-based in-home telerehabilitation program (n=30) or standard in-hospital face-to-face physical therapy (n=31). The primary outcome was the hip-related quality of life (QOL) subscale of the Hip disability and Osteoarthritis Outcome Score (HOOS) at 12 weeks. Secondary outcomes included other HOOS subscales, SF-12 physical and mental component scores, Timed Up and Go (TUG) test, and the Berg Balance Scale (BBS). Outcomes were assessed at baseline, 4 weeks, and 12 weeks. Overall, the results of the study revealed no significant differences between the groups across all outcome measures, with adjusted p-values > 0.05. The findings suggest that in-home telerehabilitation is a non-inferior alternative to conventional in-hospital rehabilitation after hip replacement surgery.