My Hip My Voice

09/06/2026

🦴 Periprosthetic femur fractures (PFFs) are becoming an increasingly important challenge for healthcare systems as the number of joint replacements continues to rise.

The Scottish National Audit of Periprosthetic Femur Fractures (SNAP Femur) study found that patients with PFFs experience significant mortality and functional decline, with a one year mortality rate of 20.8%.

The study also highlights that current registry coding limitations likely underestimate the true incidence of PFFs, reinforcing the need for better national data capture and multidisciplinary models of care.

💡The findings are particularly relevant to ANZHFR, demonstrating that patients with PFFs experience outcomes similar to those seen after hip fracture, including increased mortality and functional decline. The study also reinforces the value of national clinical quality registries, multidisciplinary models of care and robust data collection in driving improvements in patient outcomes.

🔗Read more:
https://doi.org/10.1302/0301-620X.108B5.BJJ-2025-0979.R1

The epidemiology and outcomes of periprosthetic femur fractures

08/06/2026

Hip fracture care improves when we measure it 📊

A recent proof-of-concept study highlights the development of a national hip fracture registry framework in Brazil, aligned with international minimum datasets for orthogeriatric care.

The study reinforces that:
• Hip fractures are increasing rapidly with population ageing
• Outcomes remain poor, with high mortality and long-term disability
• A unified registry is essential to track care quality and outcomes consistently

💡 The key message for systems worldwide:
You can’t improve what you don’t consistently measure. National registries are a critical foundation for safer, more effective hip fracture care.

🔗Read more: https://doi.org/10.1186/s13037-026-00484-0

Background Hip fractures in older adults are associated with high morbidity, mortality, and healthcare costs. Their incidence is rising with population aging, yet Brazil still lacks a unified national registry to systematically monitor these cases. Methods We developed a consensus-based registry pro...

02/06/2026

Delirium isn’t just a complication - it’s a predictor of recovery 🧠

A recent large multicentre prospective cohort study (n=1,400+) found that nearly 30% of hip fracture patients experienced delirium, but the highest risk of poor outcomes was seen in those who had delirium both before and after surgery.

Patients with persistent delirium were significantly more likely to leave hospital with poor functional outcomes.

💡 The takeaway:
It’s not enough to assess delirium once. Tracking it across the entire pathway helps identify patients at highest risk and tailor care earlier.

Read more: https://doi.org/10.1007/s41999-026-01444-8

Purpose Evidence on how the timing of delirium onset influences functional outcomes after hip fracture is scarce, yet is crucial for informing service planning and optimizing orthogeriatric care pathways. We therefore examined the association between delirium occurring at distinct perioperative phas...

01/06/2026

Hip fracture care must adapt for patients with cognitive impairment 🧠

A recent narrative review highlights that patients with cognitive impairment:
• Have higher mortality after hip fracture
• Are less likely to regain independence
• Experience more challenges with rehabilitation

This is a growing proportion of our hip fracture population.

💡 Standard pathways aren’t enough.
Outcomes improve when care is tailored, multidisciplinary, and person-centred from admission through to recovery.

Read more: https://doi.org/10.3389/fpubh.2026.1816268

BackgroundHip fractures in older adults are costly and often fatal. Cognitive impairment (CI) complicates pain assessment, raises delirium risk, and hinders ...

31/05/2026

Healthy ageing starts with mindset 👩‍🦳 👨‍🦳

New research from the Yale School of Public Health highlights that how we think about ageing can have a measurable impact on our health.

In a study of more than 11,000 adults aged 50 to 99, those with a positive outlook on ageing showed better performance in:

✔ Walking speed
✔ Memory
✔ Cognitive tasks

Importantly, they didn’t just maintain function, they improved over time.

Experts emphasise that a positive mindset often translates into healthier behaviours, staying physically, cognitively and socially active.

This has important implications for hip fracture care and prevention.

At ANZHFR, we know that supporting healthy ageing is not just about treatment, but also about empowering people to expect more from their later years.

A positive outlook is not just good for wellbeing, it’s a key part of maintaining independence and reducing risk.

Read more here: https://www.theguardian.com/science/2026/may/03/getting-older-ageing-happiest-time-of-life

Doing more trips around the sun does not mean inevitable decline, new research suggests – and having a optimistic outlook can even bring improvements

26/05/2026

New research highlights the real impact of hospital harm after hip fracture 🚨

A large Canadian study has found that nearly 1 in 5 patients (17.5%) experience harm during their hospital stay following a hip fracture.

Older adults with hip fractures are already at higher risk of adverse events during admission, including delirium, infections, medication-related errors, and falls, all of which can significantly increase the risk of complications and death.

Even more concerning 👉 those who experienced hospital harm had a 42% higher risk of dying within 12 months compared to those who did not.

📊 The study included over 131,000 patients aged 50+, reinforcing just how significant this issue is at a population level.

Why does this matter?
Hip fracture outcomes aren’t just about the surgery. Preventing complications and harm during the hospital stay could play a major role in improving long-term survival.

💡 Key takeaway:
Improving patient safety in hospital settings isn’t optional, it is critical to reducing mortality after hip fracture.

📄 Read more: https://doi.org/10.1111/jgs.70452

Background Hip fractures are a significant public health concern, associated with substantial morbidity and mortality. Mortality is the most serious consequence of hip fractures, with a 1-year rate ...

25/05/2026

Connecting people living with dementia through lived experience and peer support

A powerful peer support program from Dementia Australia is showing how connection, empathy, and lived experience can transform the journey of living with dementia.

Launched in 2022, Connecting Peers is a co-designed, one-to-one peer support program that matches people newly impacted by dementia with trained Peer Leaders who may also be living with dementia or be current or former carers.

Participants are thoughtfully matched based on diagnosis, relationships, shared interests, and preferences, and connect via phone - making the program accessible to people anywhere in Australia.

The impact is profound. Peer Leaders describe the role as both meaningful and empowering, with many finding that supporting others also helps them navigate their own diagnosis with greater acceptance and purpose.

As one Peer Leader shared, “My life is different now, but it’s not all bad. I think it’s important to try and help people navigate their way through.”

With more than 100 Peer Leaders involved and growing demand for support across Australia, Connecting Peers highlights the value of consumer-led, strengths-based models of care that centre the voices of people with lived experience.

As the number of Australians living with dementia continues to rise, programs like this demonstrate the importance of early, flexible, and human-centred support that empowers people to support each other.

📞 For support or more information, contact the National Dementia Helpline: 1800 100 500 or dementia.org.au/get-support/national-dementia-helpline

Call 1800 100 500 for free and confidential expert information, advice and support, 24 hours a day, seven days a week, 365 days a year.

24/05/2026

What happens after a hip fracture? Insights from Japan

A nationwide study of 6,700+ patients across Japan highlights what recovery really looks like after hip fracture and where care can improve.

🔍 Key findings:
• Average age: 82.9 years, 86% female
• 94.8% underwent surgery
• Osteoporosis treatment remains low:
→ 23% at time of fracture
→ 47% at 12 months
• 1 in 10 patients died within 12 months
• 11% experienced another fracture within a year
• 66% of patients required new care support after their fracture

💡 What stands out?
Despite high surgical rates, secondary fracture prevention is still being missed. Many patients are not started on osteoporosis treatment, often due to patient choice, highlighting a need for better education and follow-up.

🏡 The good news:
Most patients were able to return home within 12 months, reinforcing the value of early rehabilitation and ongoing support.

📢 Why this matters
Hip fracture care doesn’t end in the operating theatre. Improving osteoporosis management and post-fracture care is key to reducing repeat fractures and supporting healthy ageing.

🔗 Read more: https://doi.org/10.1016/j.jos.2025.05.014

19/05/2026

🎙️ Strong from the inside out 💪

A new episode of Bone Talk from the Bone Health and Osteoporosis Foundation is shining a light on a critical but often overlooked part of bone health: the pelvic floor.

🔍 Why it matters for hip fracture care and prevention:

👉The pelvic floor is a key part of the core system, influencing balance and stability
👉Dysfunction can increase fall risk, a major driver of fractures
👉Symptoms like incontinence may limit exercise, impacting bone strength
👉Targeted exercise can improve both pelvic floor function and bone health

Importantly, pelvic floor dysfunction is common and treatable at any age

💡 The takeaway:

Bone health does not exist in isolation. Strength, mobility, and pelvic floor function are deeply interconnected. Early recognition and the right support can help prevent falls, maintain independence, and improve quality of life.

🎧 Listen here: https://www.bonetalk.org/podcast-episodes/strong-from-the-inside-out-why-pelvic-floor-health-matters-for-your-bones

On this episode of Bone Talk, BHOF Claire Gill is joined by Ingrid Harm-Ernandes, PT, WCS, BCB-PMD to unpack a topic many overlook in bone health conversations: the pelvic floor. Their discussion reveals how this hidden muscle system plays a critical role in strength, balance, mobility, and fall pre

18/05/2026

🦴 Each fracture matters… but multiple fractures change everything.

New research published in Osteoporosis International highlights the growing impact of accumulating fragility fractures among post-menopausal women.

🔍 What the study found:
✔ Clear dose–response effect 📊
• More fractures = worse outcomes

✔ Women with 3 or more fractures 👩‍🦳
• 2.2× higher mortality risk ⚠️
• 1.4× higher healthcare costs 💰

✔ As fractures increased, so did:
• 🏥 Longer hospital stays
• 🏡 Greater need for long-term care

📊 Based on over 33 years of follow up and 16,000+ women, this study reinforces that fragility fractures are not isolated events but part of a cumulative trajectory.

💡 Why this matters for hip fracture care:
Preventing the next fracture is critical. Secondary prevention strategies including bone health assessment, falls prevention, and coordinated care models can play a major role in reducing both patient harm and system burden.

🔗 Read the full study:
https://doi.org/10.1007/s00198-025-07821-6

Summary Cumulative fragility fractures markedly raise mortality, care needs, and healthcare costs among post-menopausal women. Women with ≥3 fractures show 2.2 times higher mortality rate and 1.4 times higher costs. These findings suggest that effective fracture prevention strategies may help redu...