BJJ Paper of the Month exploring the link between surgery timing and outcomes after hip fracture. The Bone & Joint Journal. Mazarello Paes et al. Bone Joint J. 2026;108-B(1):30-38.

In last month's most downloaded #BJJ paper, the authors report that surgery within 24 to 48 hours after hip fracture in older people is associated with better clinical outcomes and improved patient-reported outcomes.

#Surgery #HipFracture #PROMs #OrthoSky #MedSky

ow.ly/QwKj50YiblH

Abstract text for article titled 'Arthroplasty for hip fracture: the art and evidence of hip arthroplasty'. The Bone & Joint Journal.

While both their surgical and medical management have advanced tremendously in recent decades, several aspects of the use of arthroplasty in patients with a hip fracture remain controversial.

#Arthroplasty #HipFracture #BJJ #OrthoSky #MedSky

ow.ly/rQct50Y9aA0

Predicting hip fractures from just 7% of the bone UPF scientists have discovered this 7% of critical areas based on their pioneering analysis model that allows minimizing the margin of error when predicting whether or not women with osteoporosis will...

🦴 To predict the risk of #hipfracture, only 7% of the #bone needs to be analysed. Scientists from @enginyeria-upf.bsky.social at 🇪🇸 @upf.edu have identified the critical areas to improving #diagnostic methods, for example to narrow down the areas of the #hip requiring an #x-ray. #osteoporosis

New research in PM&R highlights the importance of in-hospital physical activity in predicting swallowing function at discharge among patients with hip fracture.
Full article:
www.archives-pmr.org/article/S0003-9993(25)01...

#PMRJournal #ACRM #ACRMJournals #HipFracture #Swallowing

New research in PM&R highlights the importance of in-hospital physical activity in predicting swallowing function at discharge among patients with hip fracture.
Full article:
www.archives-pmr.org/article/S0003-9993(25)01...

#PMRJournal #ACRM #ACRMJournals #HipFracture #Swallowing

The Role of Ultrasound-Guided Regional Anesthesia in Hip Fracture Hip fracture remains one of the most common and consequential emergencies in older adults. Recent data estimate that more than 14 million hip fractures occur annually across the globe, with most affecting adults older than 70 years and often marking a profound turning point in health trajectory.1...

Ultrasound-guided regional anesthesia delivered in the emergency department substantiates reduced delirium risk and improved pain control for older adults with #HipFracture. ja.ma/4oSS429

POCUS training leads to successful nerve block placement Training can help novice point-of-care ultrasound users with guiding nerve blocks in patients with hip fractures.

This knowledge-to-practice training intervention improved nerve block uptake in hip fracture patients #radiology #ultrasound #hipfracture buff.ly/e7iHClZ

A patient’s sex may influence best choice of fracture medication, study finds A patient’s sex may be relevant when it comes to prescribing medication following a hip fracture, according to the results of a study. Publishing the findings of the study in Osteoporosis…

A patient’s sex may be relevant when it comes to prescribing medication following a hip fracture, according to the results of a study

#ukpharmacy #hipfracture

If you missed the launch of the Irish Hip Fracture Database National Report 2024 or would like to revisit the presentations, the full recording is now available.

🔗 Watch the launch event: vimeo.com/noca/ihfdrep...
Read the IHFD National Report 2024: noca.ie/documents/ih...

#IHFD2025 #HipFracture

The Irish Hip Fracture Database National Report 2024 is now available, covering 4,294 patients across 16 hospitals.

Timely admission has improved again: 36% reached a ward or theatre within four hours from ED, a seven-point rise on last year.

🔗 www.noca.ie/documents/ih... #IHFD2025 #HipFracture

Just a few days to go. Join us next Tuesday 25th November (10:30–12:30) for the launch of the Irish Hip Fracture Database National Report 2024.

There’s still time to register: noca.ie/news-events/... #HipFracture #IHFD2025 @marywalsh14.bsky.social @louisebrent28.bsky.social

The Association of Bone-related Biomarkers With Incident Hip Fracture: A Nested Case-control Study AbstractContext. Current osteoporosis risk stratification relies on clinical factors and bone mineral density alone.Objective. To determine if osteocalcin,

The Association of Bone-related Biomarkers With Incident Hip Fracture: A Nested Case-control Study. Read more in #JES: bit.ly/3LluVY4 #hipfracture #osteoporosis #osteocalcin @endocrinesociety.bsky.social

Clippers guard Bradley Beal has hip fracture, will undergo season-ending surgery: Bradley Beal’s season is over.

The Los Angeles Clippers guard has a fracture in his hip and will now undergo season-ending surgery, according to ESPN’s Shams… #BradleyBeal #Clippers #NBA #InjuryUpdate #HipFracture

Me looking down at the staples in my hip after surgery. Reminds me of Frankenstein.

Hip fracture leads to
Thoughts of Frankenstein
Need to write again
#writingprompts #Halloween #hipfracture

World’s largest hip fracture research platform launched to improve care and outcomes | NIHR Oxford Biomedical Research Centre

World’s largest #HipFracture research platform - based @ndorms.bsky.social launched to improve care and outcomes for patients oxfordbrc.nihr.ac.uk/worlds-large... @ouhospitals.bsky.social @nihr.bsky.social @medsci.ox.ac.uk

a little girl with a pink bow on her head is holding a red book and says be very careful Alt: a little girl with a pink bow on her head is holding a red book and says be very careful

The social, cultural and service delivery context of the Netherlands is unique. It is wrong to take their very carefully considered work in one context and transplant it unthinkingly somewhere else. The vast majority of people with #HipFracture will benefit from, and want, surgery.

Forest plot (central estimates and confidence interval lines of multiple characteristics) showing the estimated relative risk of receiving non-operative management for hip fracture. Sex, fracture type and ethnicity pretty clearly not associated with increased risk. Dementia, cancer, being less mobile and non-independence with ADLs (activities of daily living) are associated with increased risk of non-operative management. Not admitted from own home is unclear.

Variation in rates of surgery for #HipFracture are NOT fully explained by patient characteristics. The presence of dementia, cancer and higher ASA physical status (greater impact of comorbidities) are associated with non-op management. Something else is going on.

Alt text: Tables and figures from scientific papers. Of 181 people not having surgery for hip fracture, around 32% didn’t give consent, 7% it was clinician choice, 7% didn’t have implants available, 5% were (to paraphrase) thought to be too ill, 3 or 181 couldn’t afford it.

Bear in mind that in many parts of the world people may not even get to hospital with their #HipFracture. Many cultural, social and economic reasons for this as highlighted by Irewin Tabu from the Philippines.

World map showing where there are data reporting data comparing operative and non-operative management of hip fracture. Concentrated in the global north (though fewer data from Europe than might be expected)

Internationally, data are sparse – overrepresentation of higher income countries – both for who get an operation for #HipFracture and for important outcomes afterwards

Interesting workshop at #FFN2025 discussing variation, outcomes and unknowns around who doesn’t get an operation for #HipFracture. We recently published a big review of the international data @anaesjournal.bsky.social associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

Abstract text for article titled 'Risk factors associated with the development of complications after a hip fracture'. The Bone & Joint Journal.

Patient-related factors such as increasing age, male sex and higher comorbidity were associated with a number of complications, which may explain the higher mortality and worse recovery seen in these groups.

#HipFracture #Trauma #OrthoSky

ow.ly/yOva50X00Ye

Did you see? NEW report on #HipFracture care from NHFD FFFAP @rcphysicians.bsky.social looks at 2024 data and explores how care aligned to 3 key patient goals of: Getting to the right place; Getting up after surgery; and Getting back home again. #Orthopaedics

www.hqip.org.uk/resource/577-nhfd/

Dr. Christina Reppas-Rindlisbacher: Language Barriers and Hip Fracture Surgery Wait Times in Ontario "The PSI Resident Research award enabled me to engage in high impact academic research during my residency." -Dr. Christina Reppas-Rindlisbacher

In their PSI-funded study, Dr. Christina Reppas-Rindlisbacher @creppas.bsky.social & Dr. Paula Rochon highlight how language barriers impact #HipFracture recovery and surgery wait times, calling for more language-accessible care. @wchospital.bsky.social

www.psifoundation.org/dr-christina...

Not having surgery for a broken hip is quite common, but there are big differences in how often this happens in different places. These differences don't seem to be caused by patient health or other easy-to-see reasons.

#hipfracture

doi.org/10.1111/anae...

Excited to share this international collaboration led by @merrimanniamh.bsky.social I could be part of, recently published in #EurGeriatrMed. How do hip fracture audits collect data on #delirium and #cognition?
Insights that will help improve #HipFracture care.
Link in thread below.
Enjoy!!

Screenshot of the European Geriatric Medicine journal article titled "Delirium and cognitive assessment in national hip fracture registries: a scoping review," published on June 6, 2025.

New research alert!
📢Published in #EuropeanGeriatricMedicine, this @hrbireland.bsky.social-funded scoping review examined #delirium and #cognitiveassessment data items currently collected by national #hipfracture registries (HFRs).

Combining Exercise Training and Testosterone Therapy in Older Women After Hip Fracture: The STEP-HI Randomized Clinical Trial - PubMed ClinicalTrials.gov Identifier: NCT02938923.

#Newpub in @jama.com by @cuphysmed.bsky.social faculty Dr. @jslapsley.bsky.social & team on Combining #Exercise Training and #Testosterone Therapy in Older #Women After #HipFracture: The STEP-HI Randomized Clinical Trial. pubmed.ncbi.nlm.nih.gov/40372752/

Evaluating the Accuracy and Reliability of Real-World Digital Mobility Outcomes in Older Adults After Hip Fracture: Cross-Sectional Observational Study Background: Algorithms estimating real-world digital mobility outcomes (DMOs) are increasingly validated in healthy adults and various disease cohorts. However, their accuracy and reliability in older adults after hip fracture, who often walk slowly for short durations, is underexplored. Objective: This study examined DMO accuracy and reliability in a hip fracture cohort considering walking bout (WB) duration, physical function, days since surgery, and walking aid use. Methods: In total, 19 community-dwelling participants were real-world monitored for 2.5 hours using a lower back wearable device and a reference system combining inertial modules, distance sensors, and pressure insoles. A total of 6 DMO estimates from 164 WBs from 58% (11/19) of the participants (aged 71-90 years; assessed 32-390 days after surgery; Short Physical Performance Battery [SPPB] scores of 3-12; gait speed range 0.39-1.34 m/s) were assessed against the reference system at the WB and participant level. We stratified by WB duration (all WBs, WBs of >10 seconds, WBs of 10-30 seconds, and WBs of >30 seconds) and lower versus higher SPPB scores and observed whether days since surgery and walking aid use affected DMO accuracy and reliability. Results: Across WBs, walking speed and distance ranged from 0.25 to 1.29 m/s and from 1.7 to 436.5 m, respectively. Estimation of walking speed, cadence, stride duration, number of steps, and distance stratified by WB duration showed intraclass correlation coefficients (ICCs) ranging from 0.50 to 0.99 and mean relative errors (MREs) from –6.9% to 12.8%. Stride length estimation showed poor reliability, with ICCs ranging from 0.30 to 0.49 and MREs from 6.1% to 13.2%. Walking speed and distance ICCs in the higher–SPPB score group ranged from 0.85 to 0.99, and MREs ranged from –10.1% to –1.7%. In the lower–SPPB score group, walking speed and distance ICCs ranged from 0.17 to 0.99, and MREs ranged from 13.5% to 32.6%. There was no discernible effect of time since surgery or walking aid use. Conclusions: In total, 5 accurate and reliable real-world DMOs were identified in older adults after hip fracture: walking speed, cadence, stride duration, number of steps, and distance. Accuracy and reliability of most DMOs improved when excluding WBs of 30 seconds than for WBs of 10 to 30 seconds and for participants with higher physical function. DMOs capture daily gait as early as 1 month after surgery also in people using walking aids. However, as most WBs in this cohort were short, there was a trade-off between improving accuracy and reliability by excluding short WBs and losing a substantial amount of data. These results have important implications for establishing the clinical validity of DMOs and evaluating the effects of interventions on daily-life gait, thereby facilitating the design of optimal care pathways.

JMIR Formative Res: Evaluating the Accuracy and Reliability of Real-World Digital Mobility Outcomes in Older Adults After Hip Fracture: Cross-Sectional Observational Study #DigitalMobility #OlderAdults #HipFracture #HealthcareResearch #WearableTechnology

#DYK @ucsfci2.bsky.social & @ucsfimaging.bsky.social review 40-50 pelvis XR exams daily?

This is a critical step in classifying #HipFracture. Learn more about our program for #OsteoporosisAwarenessMonth. intelligentimaging.ucsf.edu/news/clinica...

✨ DELIRIUM ON PRESENTATION WITH A HIP FRACTURE IS ASSOCIATED WITH ADVERSE OUTCOMES 🚑

Read the full paper here!

#Delirium #HipFracture #Orthopedics #Trauma #OrthoSky #MedSky

ow.ly/NofO50Vuuu7