We aim to optimise the multidisciplinary management of patients with a fragility fracture, including secondary prevention.
Basel, Switzerland
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Bridging the Global Implementation Gap in Immediate Weight-Bearing After Hip Fracture Surgery
Immediate weight-bearing as tolerated (WBAT) after hip fracture surgery is widely recommended—but implementation remains inconsistent across many regions of the world.
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The goal is clear: translate evidence into practice and support earlier, safer mobilisation for older people after hip fracture surgery—regardless of where they receive care.
Read more ovid.com/jnls/jbjsjournal/ab…
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A pragmatic supportive-factor checklist is also included to help teams introduce change progressively and adapt implementation to local resources and capacity.
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🔹 Structured fall prevention and multidisciplinary perioperative optimization
🔹 Postoperative stability-related triage to individualize weight-bearing protocols after internal fixation versus arthroplasty
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🔹Shared decision-making with proportionate documentation of informed discussions about benefits and realistic risks
🔹Mobility-based stratification that prioritizes immediate WBAT for patients who were independently ambulatory before the fracture
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Developed by 31 international experts from 15 countries through a structured 3-round Delphi process, the consensus includes 13 recommendations across four key domains:
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The new WAIT-Free Consensus provides a practical, evidence-informed framework to support the safe and sustainable adoption of immediate WBAT for older adults with hip fracture in low-adoption regions.
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A Romanian cohort study followed 1,977 patients with low-trauma hip fracture for up to 7 years.
Cumulative mortality reached 73.8% at 7 years.
Overall mortality was approximately 9 times higher than expected compared with the age- and sex-specific general population.
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These findings highlight the need to strengthen hip fracture and osteoporosis care, from acute management and orthogeriatric pathways to long-term follow-up and secondary fracture prevention.
Read more link.springer.com/article/10…
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Mortality was highest during the first year but remained elevated throughout the 7-year follow-up.
Conservative management was independently associated with higher mortality compared with surgery, while female sex was associated with better survival.
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2026 NICE Osteoporosis Risk Assessment Guideline Update
The National Institute for Health and Care Excellence (NICE) released an update to its 2012 guideline ‘Osteoporosis: Assessing the Risk of Fragility Fracture’. The new 2026 guideline ‘
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Osteoporosis: Risk Assessment’ covers identifying adults for fragility fracture risk assessment, risk assessment methods, identifying vertebral fragility fractures and treatment criteria.
Learn more nice.org.uk/guidance/ng259
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Global Perspectives on the Care Gap in Fragility Fracture Management
Fragility fracture care remains suboptimal worldwide despite strong evidence supporting timely surgery, orthogeriatric care, early mobilization, unrestricted weight-bearing, and secondary fracture prevention.
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Future progress depends on strengthening health systems, embedding auditing and certification programs, and implementing context-sensitive quality standards that bridge the gap between evidence and routine.
ovid.com/jnls/jbjsjournal/ab…
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Orthopaedic surgeons have a central role in leading multidisciplinary care, promoting secondary fracture prevention, and driving quality improvement across the entire fragility fracture pathway.
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Implementation in low- and middle-income countries (LMICs) is limited primarily by health-system constraints, including workforce shortages, delayed presentation, limited infrastructure, and fragmented care pathways, rather than by lack of evidence.
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International quality standards and registry-based audits have translated this evidence into measurable indicators that improve care in many high-income health-care systems.
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FFN European Congress
Only one month to go!
There's still time to submit your poster. Deadline: September 11
ffn.edinburgh2026.co.uk/abst…
Get a sneak peek at 2 more of the exciting symposia of the congress.
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