Fragility Fracture Network

Fragility Fracture Network FFN - A Global Network to Improve Fragility Fracture Management and Prevention The Fragility Fracture Network (FFN) is a global network of activists.

The mission of the Fragility Fracture Network is to promote globally the optimal multidisciplinary management of the patients with a fragility fracture, including secondary prevention

The FFN focuses activity on 6 key themes:

• Peri-operative care
Improving the peri-operative care of fragility fracture sufferers has, and will continue to be, a major focus for FFN members and a theme of FFN Congresses . The 2 key components of peri-operative care are anaesthesiology and orthopaedic-geriatric co-care (otherwise known as orthogeriatrics).

• Surgical treatment
The primary challenge facing surgeons is how to obtain secure fixation of an implant to osteoporotic bone. Leading initiatives from the AO Foundation (www.aofoundation.org) and Osteosynthesis and Trauma Care Foundation (www.otcfoundation.org) have identified and disseminated best practice.

• Rehabilitation
Returning hip fracture sufferers to their pre-fracture level of function and independence is a major challenge. In this regard, provision of effective rehabilitation is a vital component of any system of care for fragility fracture sufferers.

• Secondary prevention
Effective secondary prevention must urgently be established as a standard part of post-fracture care throughout the world. The International Osteoporosis Foundation Capture the Fracture Campaign (www.capturethefracture.org) provides extensive resources for those seeking to eliminate the secondary prevention care gap.

• Research and education
FFN Special Interest Groups are active in establishing a minimum dataset for hip fracture audit, developing evidence-based pathways for vertebral fracture patients and defining key questions in rehabilitation research.

• Changing healthcare policy
Driving policy change that will raise fragility fracture care up the healthcare agenda across the world is a major aim of the FFN. FFN Congresses and the website provide a platform for sharing success in the policy arena. A comprehensive suite of resources are available to FFN members in the Our resources section of the website at www.fragilityfracturenetwork.org. Join the FFN today and become a part of the solution to one of the greatest challenges facing health systems around the world.

FFN Orthogeriatric Educational Module on Delirium is now available!Access here
20/02/2026

FFN Orthogeriatric Educational Module on Delirium is now available!

Access here

This module is for all staff caring for older adults admitted to acute hospitals with fragility fractures. Older age and major fragility fractures—such as hip fractures requiring surgery—significantly increase the risk of delirium. Some patients arrive with delirium, while others develop it duri...

Postoperative delirium (POD) is one of the most frequent complications after hip fracture surgery. Pain is a key modifia...
19/02/2026

Postoperative delirium (POD) is one of the most frequent complications after hip fracture surgery. Pain is a key modifiable risk factor, and inadequate analgesia can precipitate acute cognitive dysfunction.
💉 Peripheral nerve blocks (PNBs), commonly used for femoral neck fractures, may help reduce this risk. A recent systematic review supports the use of PNBs as a strategy to decrease POD in cognitively intact older adults undergoing hip fracture surgery.
Read more: https://link.springer.com/article/10.1186/s42836-025-00346-7

Hip fracture patients experience continued cognitive decline after fracture, making them a “high-risk” group to test int...
12/02/2026

Hip fracture patients experience continued cognitive decline after fracture, making them a “high-risk” group to test interventions. The estimated prevalence of in-hospital cognitive impairment after hip fracture is 25–40%, and about 25% still show impairment 2 months post-fracture.

A study compared two home-based 16-week programs after usual rehab: a multi-component exercise intervention (PUSH) versus a non-specific active control (PULSE).

Results suggest that multi-component exercise like PUSH may help preserve cognitive function by improving attention and psychomotor speed after hip fracture.

Read more https://pubmed.ncbi.nlm.nih.gov/39772851/

A systematic review including 4.3+ million patients shows surgery within 48 hours reduces complications, mortality, hosp...
06/02/2026

A systematic review including 4.3+ million patients shows surgery within 48 hours reduces complications, mortality, hospital stay, and costs. Surgery within 24 hours further improves quality of life and reduces reoperations.

Improving surgical pathways and multidisciplinary coordination is essential to achieve timely care. Standardizing “time to surgery” reporting is key for future research and care improvement

Read more

What is the association between time to surgery and patient outcome after hip fracture?

FFN Canada Congress 2026: Early Bird Registration has been extended!Don’t miss the chance to join leaders in fragility f...
05/02/2026

FFN Canada Congress 2026:
Early Bird Registration has been extended!

Don’t miss the chance to join leaders in fragility fracture care. Early bird registration for the FFN Canada Congress 2026: From Fracture to Function has been extended, allowing more time to register at a discounted rate!

Extended Early Bird Deadline: February 15

View the programme and register here https://fragilityfracturenetwork.org/ffn-canada-congress/

05/02/2026

A 2023 Irish Hip Fracture Database study found that surgical site infections (SSIs), though rare (0.4%), impose a high healthcare burden. Across 15 hospitals, SSIs cost €712,898 annually, averaging €44,556 per patient, mainly due to prolonged hospital stays. The findings highlight the importance of infection prevention and surveillance, especially as aging populations increase future risk.

Read more

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FFN Canada Congress 2026: Catch the Early Bird Registration-Only one day left!  Join us at the FFN Canada Congress 2026:...
30/01/2026

FFN Canada Congress 2026:

Catch the Early Bird Registration-
Only one day left!

Join us at the FFN Canada Congress 2026: From Fracture to Function, where multidisciplinary leaders come together to advance the management of fragility fractures through innovation, collaboration, and evidence-based practice. Register now before the Early Bird deadline ends!

Early Bird Deadline: January 31

https://fragilityfracturenetwork.org/ffn-canada-congress/

A major UK study has revealed that the financial burden of hip fractures extends beyond hospital walls, with social care...
30/01/2026

A major UK study has revealed that the financial burden of hip fractures extends beyond hospital walls, with social care costs often matching or exceeding medical treatment. Analysis of over 16,600 patients aged 60+ found that social care costs averaged £15,525 per person in the first 120 days after surgery. The findings highlight the need for closer integration between health and social care services to account for these hidden costs in healthcare planning.

Read the full article: https://academic.oup.com/ageing/article/55/1/afaf358/8440114

📢 Call for Abstracts – Now Open!Abstract submissions are officially open for the Fragility Fracture Network (FFN) Congre...
28/01/2026

📢 Call for Abstracts – Now Open!

Abstract submissions are officially open for the Fragility Fracture Network (FFN) Congress 2026 in Edinburgh 🏰 , 8–10 October 2026

👉 Submit your abstract here:
https://ffn.edinburgh2026.co.uk/abstracts

⏳ There’s still time to submit a symposium proposal!
Find out more here:
https://fragilityfracturenetwork.org/ffn-europe-congress-2026/

🌍 Explore the programme, venue details, and latest updates here:
https://ffn.edinburgh2026.co.uk/

A recent study in the UK found that relocation of neck of femur (NOF) fracture patients from a major trauma centre to a ...
23/01/2026

A recent study in the UK found that relocation of neck of femur (NOF) fracture patients from a major trauma centre to a specialized unit with an organized fragility fracture service led to increased efficiency and improved compliance with Best Practice Tariffs (BPT).

🔹 BPT compliance: 40.5% → 59.9%
🔹 Surgery within 36 hours: 46.9% → 65.6%
🔹 Improved delirium assessment
🔹 30-day mortality reduced: 10.6% → 8.1%

Read more: https://www.magonlinelibrary.com/doi/full/10.12968/hmed.2024.0681

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Our Story | Patient centred multidisciplinary care

The Fragility Fracture Network (FFN) is a global network of activists. Our mission is to promote the optimal multidisciplinary management of patients with a fragility fracture globally, including secondary prevention. The FFN focuses on 6 key themes: • Peri-operative care Improving the peri-operative care of fragility fracture sufferers has, and will, continue to be a major focus for FFN members and a theme of FFN Congresses (www.ffn-congress.com). The 2 key components of peri-operative care are anaesthesiology and orthopaedic-geriatric co-care (otherwise known as orthogeriatrics). • Surgical treatment The primary challenge facing surgeons is how to obtain secure fixation of an implant to an osteoporotic bone. Leading initiatives from the AO Foundation (www.aofoundation.org) and Osteosynthesis and Trauma Care Foundation (www.otcfoundation.org) have identified and disseminated best practice. • Rehabilitation Returning hip fracture sufferers to their pre-fracture level of function and independence is a major challenge. In this regard, provision of effective rehabilitation is a vital component of any system of care for fragility fracture sufferers. • Secondary prevention Effective secondary prevention must urgently be established as a standard part of post-fracture care throughout the world. The International Osteoporosis Foundation Capture the Fracture Campaign (www.capturethefracture.org) provides extensive resources for those seeking to eliminate the secondary prevention care gap. • Research and education FFN Special Interest Groups are active in establishing a minimum dataset for hip fracture audit, developing evidence-based pathways for vertebral fracture patients and defining key questions in rehabilitation research. • Changing healthcare policy Driving policy change that will raise fragility fracture care up the healthcare agenda across the world is a major aim of the FFN. FFN Congresses (www.ffn-congress.com) and this website provide a platform for sharing success in the policy arena. A comprehensive suite of resources are available to FFN members in the Our resources section on our website www.fragilityfracturenetwork.org. Join the FFN today and become a part of the solution to one of the greatest challenges facing health systems around the world. https://www.fragilityfracturenetwork.org/membership/