Key actions aiming at improving concerns about falling and activity restriction after hip fracture include: improve physical and functional abilities; boost self-confidence; promote positive affect; involve relatives and carers; increase access to clinicians, and enhance accessibility of the home, outdoors and transport.


Recovery after a hip fracture requires adequate physical capabilities and confidence about balance. Most hip fracture patients report concerns about falling in the first three months after their fracture, though. This systematic review synthesized the quantitative and qualitative evidence on factors of concerns about falling and activity restriction after hip fracture surgery in the community.


The following factors were identified based on the results of the 19 studies of the review:
• Physical factors included falls history, comorbidities, balance, strength, mobility and functionality. 
• Psychological factors included anxiety and neuroticism scores, perceived confidence in/control over rehabilitation and abilities, and negative/positive affect about the orthopaedic trauma, pre-fracture abilities and future needs. 
• Environmental factors included accessibility in the home, outdoors and with transport. 
• Social and care factors related to the presence or absence of formal and informal networks, which reduced concerns and promoted activity by providing feedback, advice, encouragement, and practical support.


According to the authors: ‘Future interventions should seek to target the factors identified by the current review that predispose an individual to concerns about falling post-fracture’. 

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A multidisciplinary working group was formed in Netherlands, in order to update the Dutch multidisciplinary guideline on osteoporosis and fracture prevention and facilitate its implementation.  Five novel recommendations were included, that are a crucial step forward in the optimization of diagnosis and treatment for fracture prevention. 

What is new in the Dutch Multidisciplinary Guideline Osteoporosis and Fracture Prevention?

Moreover, 5 flowcharts were developed, which may be helpful for physicians and their patients in daily practice:

  1. Treatment advice for patients treated with glucocorticoids
  2. Evaluation of therapy-naive patient≥50 years with a recent fracture
  3. Evaluation of therapy-naive patient without a fracture but with increased risk profile
  4. Evaluation on therapy: bisphosphonates
  5. Evaluation on therapy: denosumab

According to the authors: ‘It is useful to bring country-specific recommendations and guidelines in the international arena; it may improve communication between countries, and we can learn from each other.

Read the article here!

We are excited to announce the launch of FFN Switzerland, which occurred on March 22, 2024.

The Fragility Fracture Network Switzerland (FFN-CH) is a new, innovative, unique platform in Switzerland and was founded on the initiative of Prof. Dr. Johannes Bastian, Chief Physician of Orthogeriatrics in Inselspital, University Clinic for Orthopaedic Surgery and Traumatology. “Every elderly person who suffers a fragility fracture in Switzerland should receive optimal recovery with regained independence and quality of life without suffering further fragility fractures” says Johannes Bastian.

The focus of FFN-CH is based on four pillars: (1) acute care, (2) rehabilitation, (3) secondary prevention and (4) building of alliances and policy. These goals are to be addressed through educational events, research, networking and fellowships. The first planned events are special FFN-CH sessions at the 84th Annual Congress of Swiss Orthopaedics on June 26, 2024 in Lausanne and at the 6th Swiss Orthogeriatrics Day in Lucerne.

Insel Gruppe AG has defined “Age and Health” and the University of Bern “Geriatric Medicine” as strategic objectives, while the WHO has also declared the period 2021 to 2030 the “Decade of Healthy Aging”. “FFN-CH is in line with the above-mentioned strategies and meets the demographic challenge on a national level: every seven minutes, someone in Switzerland suffers a fragility fracture” says Johannes Bastian.

Click here to visit the website of FFN Switzerland!

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