2. The fracture or the frailty?

2. The fracture or the frailty?

Hip fractures are one of the most common reasons older adults come into hospital — but how dangerous is hip fracture surgery really? In this episode, we go beyond the operation to explore what frailty means, how it shapes outcomes, and why managing it is often more challenging than fixing the bone. We dive into the comprehensive geriatric assessment and unpack the core pillars of acute hip fracture care — Haemorrhage, Immobility, and Pain (HIP) — showing how each can make or break recovery. Along the way, we highlight the lessons hip fracture care offers for treating older patients more holistically, and why multidisciplinary teamwork is essential for better outcomes.


Links:

‘Hip Fracture – the Cardiff approach’ on YouTube: https://www.youtube.com/playlist?list=PLH4P3rNfQEEswi7nEQQLTyyz7b2XVB4Ez

NFHD: ⁠https://www.nhfd.co.uk/⁠

Understanding mortality rates after hip fracture repair using ASA physical status in the National Hip Fracture Database: Johansen et al. Anaesthesia 2017 ⁠https://doi.org/10.1111/anae.13908⁠

Krishnan M, Beck S, Havelock W, Eeles E, Hubbard R, Johansen A. Predicting outcome after hip fracture: using a frailty index to integrate comprehensive geriatric assessment results Age Ageing 2013 https://academic.oup.com/ageing/article-abstract/43/1/122/23338?redirectedFrom=fulltext

Questions and suggestions? Email: Raihaan.Biju@wales.nhs.net

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Jaksot(12)

11. "What anaesthetic do I need?" - with Iain Moppett

11. "What anaesthetic do I need?" - with Iain Moppett

Welcome back to another special episode of The Rest Isn't Orthopaedics joined by Professor Iain Moppett, Professor of Anaesthesia and Perioperative Medicine. In this episode we tackle Grace's question...

24 Tammi 15min

10. "What operation do I need?" - with Matt Costa

10. "What operation do I need?" - with Matt Costa

Welcome back to a very special episode, joined by Matt Costa, surgeon and professor of orthopaedics in Oxford. We dive into Grace's questions about her operation, clarifying why surgery is so importan...

17 Marras 202520min

9. "Do I need an operation?"

9. "Do I need an operation?"

Hello everyone and welcome back to Season 2! We’re launching a three-part mini-series starting with an episode on the consent process — and how to respond when Grace asks, “Do I need an operation?” We...

2 Marras 202517min

8. Breaking the pain cycle; analgesia in hip fracture care

8. Breaking the pain cycle; analgesia in hip fracture care

Hello everyone, and welcome back to our second season of The Rest Isn’t Orthopaedics! In this episode, we dive into the challenge of managing pain for Grace, our model hip fracture patient. We explore...

24 Syys 202521min

7. Preventing the next fracture

7. Preventing the next fracture

We’re almost ready to send Grace home! But if she does fall again, how can we prevent another fracture? In the final episode of our first season, we explore the key trials that have shaped our approac...

8 Syys 202516min

6. The tipping point; preventing falls

6. The tipping point; preventing falls

In today’s episode, we return to Grace’s story, which began with a fall. Preventing the next fall is just as important as treating the consequences of the first. We look at why older adults fall, the ...

8 Syys 202519min

5. Feeding recovery; the importance of nutrition

5. Feeding recovery; the importance of nutrition

Nutrition is often the missing piece in hip fracture recovery — yet it can mean the difference between regaining independence or facing decline. In this episode, we unpack the evidence behind nutritio...

8 Syys 202519min

4. Step by step; rethinking rehabilitation

4. Step by step; rethinking rehabilitation

Bed rest is no longer an option after hip fracture. Evidence shows that getting patients out of bed the day after surgery is one of the most powerful predictors of recovery. In this episode, we explor...

8 Syys 202515min

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