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Fragility Fracture Network

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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.

09/03/2026

Analysis of 2,139 patients from the national registry of the Fragility Fracture Network Greece highlights key findings:
• Mean age 82 years; 70% women
• 95% living at home before fracture
• Only 31% operated within 48 hours
• 30-day mortality: 10.9%
• Delayed surgery strongly linked to longer hospital stay
While mortality rates are comparable to other European countries, improving time to surgery remains a major opportunity for quality improvement.
Read more https://www.cureus.com/articles/462569-distinct-characteristics-of-patients-with-fragility-hip-fracture-in-greece-evidence-from-the-greek-national-fragility-hip-fracture-registry-utilizing-the-minimum-common-data-set #!/

06/03/2026

FFN European Regional Congress, Edinburgh 2026
⏰ 3 Weeks Left Until the Abstract Deadline!
📢 Learn more about the Young Investigator Awards!
https://ffn.edinburgh2026.co.uk/

04/03/2026

The Fracture Liaison Service Database (FLS-DB) has published its 9th annual report. The FLS-DB are part of the Falls and Fragility Fracture Programme and captures data of patients aged 50 and over who experience a fragility fracture. Over 347,770 people will break a bone in England and Wales every year with hip fractures being associated with a 20% increase in mortality. This report will be focusing on ensuring that fracture patients are identified, assessed, and started on appropriate treatment to prevent future fractures.
Read more https://www.rcp.ac.uk/95436

27/02/2026

📢Join the FFN Orthogeriatric Care Education Webinar Series!

Discover SIMPLER actions for better nutrition and better outcomes after hip fractures and other fragility fractures. This interactive educational module highlights evidence-based nutrition strategies that support faster recovery, improved clinical outcomes, and better patient care.

26/02/2026

A review of 14 trials (1,648 patients, 1990–2024) across Europe, Asia, and Oceania found that oral nutritional supplements—high-protein, high-energy formulas enriched with vitamins and minerals—significantly lowered the risk of pressure ulcers, reducing odds by 46%.
Supplements were most effective for preventing progression to more severe (Category II) ulcers rather than early-stage (Category I) ulcers, highlighting their role in wound healing and recovery.
Oral nutritional support should be considered a key part of post–hip fracture care.
Read more

Background/Objective: Pressure ulcers represent a significant complication in patients with reduced mobility, such as those recovering from hip fractures. In the present study, we aimed to comprehensively assess the impact of oral nutritional interventions on the development of pressure ulcers in hi...

25/02/2026

In 86,524 patients from the Dutch Hip Fracture Audit (2018–2023), 25.7% developed complications, most commonly anaemia and delirium.
Heart failure, pulmonary embolism, pneumonia, renal dysfunction, and delirium were significantly associated with increased 30-day mortality (HR 1.28–2.62).
Improved complication registration identified more events but fewer mortality-linked complications, highlighting the value of accurate data capture.
Read more

Association between ten complications and mortality

20/02/2026

FFN Orthogeriatric Educational Module on Delirium is now available!

Access here https://ffn-s-school.teachable.com/p/thinking-delirium1

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

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/

10/02/2026

Save the date! The 3rd FFN Asia Pacific Regional Congress will be held on 3-5 September 2026 at Nikko Hotel, Bangkok, Thailand.

Abstract submissions are now open until 31 March 2026:
https://ffnap2026.com/abstract-submission/

Catch the early bird registration until 31 May 2026:
https://ffnap2026.com/registration/

Visit the official webpage for more information:
https://ffnap2026.com/

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?

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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/