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.

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

Acetabular fractures in older adults are increasingly common and carry high morbidity. Is ORIF still the best option, or...
15/01/2026

Acetabular fractures in older adults are increasingly common and carry high morbidity. Is ORIF still the best option, or should we rethink treatment strategies?

📊 Systematic review &meta-analysis comparing ORIF vs acute THA± fixation (CHP) for acetabular fractures

🔁 Reoperation rates were higher after ORIF
• RR 2.6
• 34% developed post-traumatic osteoarthritis
• Median time to conversion THA: 14.7 months

📈 Better functional outcomes with arthroplasty
Harris Hip Scores at 1–2 years favored acute THA/CHP.
Dislocation rate in THA/CHP: 8%.

Conclusion: In selected elderly patients, acuteTHA/CHP may reduce reoperations and improve function compared with ORIF.

Read more

Acetabular fractures in the elderly are increasingly common and associated with high morbidity and mortality. Although open reduction and internal fixation (ORIF) has been the mainstay of treatment, elderly outcomes have been less consistent. Acute total hip arthroplasty (THA), with or without fixat...

FFN CALL FOR NOMINATIONS: BOARD AND EXECUTIVE COMMITTEE The Fragility Fracture Network (FFN) is seeking nominations fo...
15/01/2026

FFN CALL FOR NOMINATIONS: BOARD AND EXECUTIVE COMMITTEE
The Fragility Fracture Network (FFN) is seeking nominations for Board and Executive Committee (ExCom) members.
In 2026 we are seeking the following posts:
 President Elect
 General Secretary Elect
 Chair Elect Scientific Committee (2028 Congress(s))
 Chair Elect Education Committee
 Board members
We would like to encourage all individuals who have a clinical and/or educational background in the management of fragility fractures to consider the opportunity to join us. As a multidisciplinary organization we encourage representation from all the professions involved with this patient population.
Learn more and submit your application here.

The Fragility Fracture Network (FFN) is seeking nominations for Board and Executive Committee (ExCom) members. FFN is a multidisciplinary organization with a mission to optimize globally the multidisciplinary management of the patient with a fragility fracture through acute care, rehabilitation and...

FFN Canada Congress 2026: 3 Weeks left until Early Bird Registration Deadline! Don’t miss the FFN Canada Congress: From ...
10/01/2026

FFN Canada Congress 2026:

3 Weeks left until

Early Bird Registration Deadline!

Don’t miss the FFN Canada Congress: From Fracture to Function: Multidisciplinary Management of Fragility Fractures, a forum for innovation, collaboration, and evidence-based advances in fragility fracture management. The Early Bird Registration Deadline is fast approaching – secure your spot today!

Early Bird Deadline: January 31

Learn More and Register:
https://fragilityfracturenetwork.org/ffn-canada-congress/

Skeletal fragility in CKD is often overlooked, even though patients with CKD have twice the hip fracture risk of the gen...
09/01/2026

Skeletal fragility in CKD is often overlooked, even though patients with CKD have twice the hip fracture risk of the general population. To raise awareness, the term CKD‑associated osteoporosis was introduced. Vertebral fractures, which are less studied, not only predict future fractures but in advanced CKD are strongly linked with vascular calcifications and cardiovascular events. A recent consensus paper outlines the diagnosis and management of skeletal fragility in CKD G4–G5D, with a special focus on vertebral fractures.
Read more https://academic.oup.com/ndt/advance-article/doi/10.1093/ndt/gfaf256/8351102?login=false

FDA Qualifies First Surrogate Endpoint for Use in Osteoporosis Clinical TrialsLearn more:
07/01/2026

FDA Qualifies First Surrogate Endpoint for Use in Osteoporosis Clinical Trials
Learn more:

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A prospective audit at Northwick Park Hospital (UK) evaluated cognitive assessment in hip fracture patients aged ≥65 yea...
05/01/2026

A prospective audit at Northwick Park Hospital (UK) evaluated cognitive assessment in hip fracture patients aged ≥65 years using a two-cycle intervention. The approach combined staff education, AMTS tracking, workflow integration, and audit feedback.
AMTS documentation improved from 46.7% to 72%, and post-operative cognitive monitoring was introduced where none existed. Despite some decline suggesting intervention fatigue, the audit shows that targeted quality improvement can enhance cognitive assessment in elderly hip fracture care.
Read more https://www.cureus.com/articles/411934-enhancing-cognitive-impairment-assessment-and-management-in-hip-fracture-patients-a-two-cycle-clinical-audit #!/

30/12/2025
The Fragility Fracture Network (FFN) fully supports the global indicators introduced by the World Health Organization (W...
19/12/2025

The Fragility Fracture Network (FFN) fully supports the global indicators introduced by the World Health Organization (WHO) to strengthen equitable hip fracture care and secondary fracture prevention. FFN supports implementation through a range of global programmes, including the Minimum Common Data Set, the Orthogeriatric Certification, and the Secondary Fragility Fracture Prevention Competency Framework.
Read more about the WHO article and the FFN statement.
https://fragilityfracturenetwork.org/who-benchmarks-for-equitable-hip-fracture-care-and-osteoporosis-treatment-in-older-people/

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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/