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July 2024 - Fragility Fracture Network

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.removeClass("oxy-sticky-header-active"); if (jQuery(selector).css('position')!='absolute') { jQuery("body").css("margin-top", ""); } } scrollTopOld = jQuery(this).scrollTop(); } }) } }); </script><div id='inner_content-15-29' class='ct-inner-content'> <p>📆 September 18<sup>th</sup>-20<sup>th</sup>, 2024</p> <p>📍Valencia, Spain</p> <p><strong>Free registration available for 2 FFN members. Apply by emailing the communications@fragilityfracturenetwork.org by August 5<sup>th</sup> 2024!</strong></p> <p>This is a fantastic opportunity to connect with international colleagues from Europe and around the world! 🌎</p> <p>This year’s theme, “From Healthy Ageing to Complex Needs in Older Adults,” promises insightful discussions and innovative solutions for geriatric care. Because aging well is equally crucial for life. ❤️</p> <p>The event is open to everyone: clinicians, clinical scientists, trainees, educators, and health service researchers. It's designed to foster new connections in a diverse and multidisciplinary environment. 🌐 🤝</p> <p>For more information, visit the congress website: 🔗 <a href="https://eugms2024.com/">https://eugms2024.com/</a></p> <p></p> <p>The implementation of a FLS protocol is associated with a lower all-cause one-year mortality rate and a higher survivorship in elderly hip fracture patients.</p> <p>The Fracture Liaison Service (FLS) care is considered the best organizational approach for secondary fracture prevention. This model of care has been reported to be associated with a significantly lower probability of subsequent fractures and mortality rates.</p> <p>The aim of this prospective cohort study, conducted in Spain, was to&nbsp;analyze the effect of the implementation of a FLS model of care over the survival and mortality rates following a hip fracture.&nbsp;A total of 1366 60+ patients were included in this study (353 before FLS implementation and 1013 after FLS implementation).&nbsp;</p> <p>The study showed the following results:</p> <ul class="wp-block-list"> <li>Anti-osteoporotic drugs were more frequently prescribed after FLS implementation and there was an increase in adherence to treatment.</li> <li>Patients after the implementation of the FLS protocol had a lower all cause one-year mortality and a decreased risk of suffering a second osteoporotic fracture.</li> <li>The implementation of a FLS model of care reduced surgical-related complications (i.e. infection, cut-out, cut-in, aseptic loosening, non-union, dislocation and medical complication). These results highlight the potential cost-effectiveness of this model of care.</li> </ul> <p>According to the authors:&nbsp;‘<em>The continuation of further studies, with longer follow-up periods, would be recommended to evaluate the long-term mortality and second fracture rates of the FLS protocols on hip fracture patients.</em>’</p> <div class="wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex"> <div class="wp-block-button is-style-fill"><a class="wp-block-button__link has-accent-3-background-color has-background wp-element-button" href="https://link.springer.com/article/10.1007/s40520-024-02761-3">Read the article here!</a></div> </div> <p></p> <p>A recent study identified several significant independent prognostic risk factors for the development of&nbsp;Prosthetic Joint Infections&nbsp;(PJI) after hemiarthroplasty, including BMI, operation time and experience level of the surgeon.</p> <p>The primary aim of this study was to identify risk factors and validate earlier reported risk factors for PJI after hemiarthroplasty. The secondary aim was to assess peri‑operative clinical outcomes, adverse events and mortality rates in PJI patients after hemiarthroplasty. 2044 patients were included in this observational cohort study, of which 72 patients developed PJI, according the MSIS criteria, after hemiarthroplasty.</p> <p>The results showed that:</p> <ul class="wp-block-list"> <li>Body Mass Index (BMI) >30, operating time of &lt;45 min, occurrence of haematoma, decreasing level of hemoglobin and re-operation for luxation were significant independent prognostic risk factors for development of PJI after hemiarthroplasty. Diabetes Mellitus and >20 hemiarthroplasties performed by the surgeon in the previous year were prognostic protective factors.</li> <li>The all-cause mortality in patients with PJI one year postoperatively was 40%.</li> <li>The all-cause mortality was higher and the in-hospital stay was longer in patients with a PJI compared to patients with no PJI.</li> </ul> <p>According to the authors: ‘<em>A PJI is one of the most feared complications after hemiarthroplasty of the hip, causing high rates of morbidity and mortality. To enable preventive measures against PJI, further determination and validation of risk factors for PJI after hemiarthroplasty are needed.</em>’</p> <p>Read the article <a href="https://www.injuryjournal.com/article/S0020-1383(23)00912-9/fulltext">here</a>!</p> <p>Preoperative frailty increases the risk of postoperative delirium in older patients undergoing hip fracture surgery.&nbsp;</p> <p>Postoperative delirium (POD) is a prevalent complication in older patients with hip fractures undergoing surgery. In this study, conducted in China, 148 older patients who underwent hip fracture surgery were enrolled to investigate the association between preoperative frailty and the risk of POD. Delirium was evaluated postoperatively on days 1, 2, 3, 5, and 7 using the CAM scale, whilst frailty was assessed based on the Frailty Index (FI).</p> <p>The results of the study showed that the overall incidence of POD on day 7 was 24.3%, and preoperative frailty was associated with a significantly higher risk of POD compared with non-frailty. Preoperative frailty was noted as an independent risk factor for the risk of POD in older patients undergoing hip fracture surgery.</p> <p>According to the authors: ‘Preoperative assessment of frailty in geriatric hip surgery can timely identify potential risks and provide interventions targeting frailty factors to reduce the incidence of POD in older patients undergoing hip fracture surgery’.</p> <p>Read the article <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10830592/">here</a>!</p> <p>The drive for systemic change in fragility fracture care has been reignited in the Asia-Pacific (AP) region through calls for a holistic approach during the recently concluded 2nd FFN AP Regional Congress. Over 400 attendees from various disciplines and countries in the region were welcomed by Malaysia's warm hospitality. The event began with an explosive performance by the Malay Silat group and a graceful dance by the Sassy Gees.</p> <figure class="wp-block-image size-full is-resized"><img fetchpriority="high" decoding="async" width="774" height="265" src="https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap1.png" alt="" class="wp-image-2037" style="width:603px;height:auto" srcset="https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap1.png 774w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap1-300x103.png 300w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap1-768x263.png 768w" sizes="(max-width: 774px) 100vw, 774px" /></figure> <p>The deputy director-general of Malaysia’s Ministry of Health, Dato' Indera Dr Nor Azimi Binti Yunus, joined FFN’s Irewin Tabu, Hui Min Khor, Lee Joon Kiong, and Frede Frihagen for the opening remarks, welcoming all participants. Throughout the congress, attendees enjoyed good food and, more importantly, a comprehensive programme highlighting the four pillars of the Fragility Fracture Network through various plenaries and symposia. Time was also allocated for delegates involved in oral and poster presentations.</p> <figure class="wp-block-image size-large is-resized"><img decoding="async" width="1024" height="768" src="https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-2-1024x768.jpg" alt="" class="wp-image-2038" style="width:347px;height:auto" srcset="https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-2-1024x768.jpg 1024w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-2-300x225.jpg 300w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-2-768x576.jpg 768w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-2-1536x1152.jpg 1536w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-2-2048x1536.jpg 2048w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-2.jpg 2400w" sizes="(max-width: 1024px) 100vw, 1024px" /></figure> <p>The plenary sessions and symposia covered all pillars of fragility fracture care. Speakers shared their practices regarding surgical approaches, rehabilitation timings, medication recommendations, post-fracture care, and preventive measures. One talk highlighted the recently launched Malaysian CPG for Geriatric Hip Fracture Management. Plenary discussions also focused on better nutrition pathways and targeted mobilization through physiotherapy. The importance of data, such as hip fracture registries, in influencing policy changes in countries like Japan and the UK was also emphasized.</p> <figure class="wp-block-image size-full is-resized"><img decoding="async" width="753" height="248" src="https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-3.png" alt="" class="wp-image-2039" style="width:653px;height:auto" srcset="https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-3.png 753w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-3-300x99.png 300w" sizes="(max-width: 753px) 100vw, 753px" /></figure> <p>Delegates had the freedom to choose from symposium topics, including Perioperative Care, Vertebral Fracture, Osteoporosis, Rehabilitation, Secondary Prevention, National Audits and FLS, and Nutrition and Delirium. Each symposium featured a panel of experts who shared their practices, followed by light-hearted discussions with the audience.</p> <figure class="wp-block-image size-full is-resized"><img loading="lazy" decoding="async" width="758" height="269" src="https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-4.png" alt="" class="wp-image-2040" style="width:646px;height:auto" srcset="https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-4.png 758w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-4-300x106.png 300w" sizes="auto, (max-width: 758px) 100vw, 758px" /></figure> <p>This networking aimed to bring about national change by empowering key champions from each country. Leaders of national FFNs and other interested champions had the opportunity to meet in one room to share and learn from each other, ensuring support for those just starting. Two new national FFNs, FFN Singapore and FFN Chinese Taipei, were introduced, and Indonesia expressed intent to form one. Additionally, FFN Global’s president-elect, Karen Hertz, rallied the nursing community and allied health practitioners to meet the challenges of an aging region. A bonus symposium for nurses and allied health professionals was included on the last day to further advance this cause.</p> <figure class="wp-block-image size-full is-resized"><img loading="lazy" decoding="async" width="743" height="310" src="https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-5.png" alt="" class="wp-image-2041" style="width:563px;height:auto" srcset="https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-5.png 743w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-5-300x125.png 300w" sizes="auto, (max-width: 743px) 100vw, 743px" /></figure> <p>The event concluded with the announcement of the winners for the best oral and poster presentations. FFN Malaysia took the opportunity to present The Distinguished Award for Leadership in Fragility Fracture Care 2024 to FFN Malaysia’s President, Dato’ Dr. Lee Joon Kiong, for his initiatives and efforts not only in Malaysia but throughout the Asia-Pacific Region.</p> <figure class="wp-block-image size-large is-resized"><img loading="lazy" decoding="async" width="1024" height="577" src="https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-6-1024x577.jpg" alt="" class="wp-image-2043" style="width:355px;height:auto" srcset="https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-6-1024x577.jpg 1024w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-6-300x169.jpg 300w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-6-768x433.jpg 768w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-6.jpg 1337w" sizes="auto, (max-width: 1024px) 100vw, 1024px" /></figure> <p>Congratulations to FFN-Malaysia for successfully hosting the 2nd FFN AP Regional Congress, paving the way for continued collaboration and advancements in fragility fracture care within the region.</p> <figure class="wp-block-image size-large is-resized"><img loading="lazy" decoding="async" width="1024" height="576" src="https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-7-1024x576.jpg" alt="" class="wp-image-2044" style="width:431px;height:auto" srcset="https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-7-1024x576.jpg 1024w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-7-300x169.jpg 300w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-7-768x432.jpg 768w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-7-1536x864.jpg 1536w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-7-2048x1152.jpg 2048w, https://fragilityfracturenetwork.org/wp-content/uploads/2024/07/ap-7-scaled.jpg 2560w" sizes="auto, (max-width: 1024px) 100vw, 1024px" /></figure> <p>Click <a href="https://fragilityfracturecongress.com/image-gallery">here</a> to view the full gallery!</p> </div><section id="section-16-29" class=" ct-section join_sec" ><div class="ct-section-inner-wrap"><h2 id="headline-17-29" class="ct-headline">Join the FFN<br></h2><div id="text_block-18-29" class="ct-text-block" >To help make the FFN vision a reality in your country, join the FFN – for free – today <br></div><a id="link_button-19-29" class="ct-link-button btn" href="https://fragilityfracturenetwork.org/join-now/" target="_self" >Join FFN Today</a></div></section><section id="section-20-29" class=" ct-section footer_sec" ><div class="ct-section-inner-wrap"><div id="new_columns-21-29" class="ct-new-columns" ><div id="div_block-22-29" class="ct-div-block ftr-col1" ><img id="image-26-29" alt="" src="https://fragilityfracturenetwork.org/wp-content/uploads/2022/08/footer_lgo.png" class="ct-image" srcset="" sizes="(max-width: 246px) 100vw, 246px" /><nav id="_nav_menu-33-29" class="oxy-nav-menu oxy-nav-menu-dropdowns oxy-nav-menu-dropdown-arrow" ><div class='oxy-menu-toggle'><div class='oxy-nav-menu-hamburger-wrap'><div class='oxy-nav-menu-hamburger'><div class='oxy-nav-menu-hamburger-line'></div><div class='oxy-nav-menu-hamburger-line'></div><div class='oxy-nav-menu-hamburger-line'></div></div></div></div><div class="menu-user-menu-container"><ul id="menu-user-menu-1" class="oxy-nav-menu-list"><li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-36"><a href="https://fragilityfracturenetwork.org/join-now/">Join Now</a></li> <li class="wpmem_loginout menu-item menu-item-type-post_type menu-item-object-page menu-item-35"><a href="https://fragilityfracturenetwork.org/login/">Login</a></li> </ul></div></nav><div id="code_block-31-29" class="ct-code-block" ><ul> <li> <a href="https://www.facebook.com/Fragility-Fracture-Network-671767442888573/" target="_blank"> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512"><!--! 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