FFN Resources

The Four Pillars Of The Global Call To Action

The foundation of FFN activities comprises the four ‘Pillars’ of activity each of which includes an orthogeriatric 
 approach that addresses the patient frailty as well as the fracture management
The Global Call to Action comprises four ‘Pillars’ of activity:
  • Pillar 1: Acute care

    Multidisciplinary care of the acute fracture episode
  • Pillar 2: Rehabilitiation

    Excellent rehabilitation to recover function, independence and quality of life, starting immediately.
  • Pillar 3: Secondary prevention

    Comprehensive secondary prevention after every fragility fracture, addressing falls risk as well as bone health
  • Pillar 4: Policy

    Formation of multidisciplinary national alliances to promote policy change that enables the above three

To implement the Global Call to Action where you work, we encourage you to read the 
FFN Clinical and Policy Toolkits.

Global Call to Action

The Global Call to Action on Fragility Fractures was published in 2018.

If you would like to turn the Call to Action into Actual Action in your country, a first step is to read the FFN Clinical Toolkit (Pillars 1-3) and the FFN Policy Toolkit (Pillar 4).

Clinical Toolkit

The Clinical Toolkit was published in 2020.

The purpose of the Clinical Toolkit is to support colleagues throughout the world to deliver the three clinical pillars of the Global Call to Action on Fragility Fractures.

Policy Toolkit

The Policy Toolkit was published in 2020.

The purpose of the Policy Toolkit is to support colleagues to advocate for the policy changes that are needed to bring about widespread uptake of best clinical practice.

Clinical Publications

FFN has developed a number of books that identify evidence based clinical practice that can be used by clinicians and healthcare organizations to improve their clinical pathways and care for fragility fracture patients.

Orthogeriatric text book

A text book that provides information on Orthogeriatrics is available at no cost.

The Management of Older Patients with Fragility Fractures

Interdisciplinary nutritional management

A text book on the nutritional management of patients with fragility fracture is available at no cost.

Interdisciplinary Nutritional Management and Care for Older Adults: An Evidence-Based Practical Guide for Nurses

Fragility Fracture Nursing

A text book on the nursing management of fragility fracture patients is available at no cost.

Fragility Fracture Nursing, Holistic Care and Management of the Orthogeriatric Patient

Additional resources

Implementation of evidence-based care occurs at a national level and additional resources are available to help support activities.


Secondary fracture prevention

Fracture Liaison Services: FFN has developed a generic business case template to support implementation of Fracture Liaison Services
which can be downloaded from here.

Hip fracture registries

Developed as a collaboration by the Asia Pacific Fragility Fracture Alliance Hip Fracture Registry Working Group and the Fragility Fracture Network Hip Fracture Audit Special Interest Group, the Hip Fracture Registry Toolbox is a practical and informative resource that explains the need, and how to best advocate for, the establishment of a national hip fracture registry. To learn more, visit:

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