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 approach to bone health — from calcium and vitamin D to bisphosphonates such as alendronate, and finally zoledronate. We unpack the benefits and challenges of these treatments, and reflect on why bone protection is so important for the whole multidisciplinary team. Join us as we wrap up Season 1, bringing together everything we’ve learned about improving outcomes for patients like Grace.


Links:

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

Patient level pooled analysis of 68,500 patients from seven major vitamin D fracture trials in US and Europe: Abrahamsen et al. BMJ 2010 https://pubmed.ncbi.nlm.nih.gov/20068257/

Oral vitamin D3 and calcium for secondary prevention of low-trauma fractures in elderly people: a randomised placebo-controlled trial: The RECORD Trial Group. Lancet 2005 https://pubmed.ncbi.nlm.nih.gov/15885294/

Randomised trial of alendronate on risk of fracture in women with existing vertebral fractures: Fracture Intervention Trial Research Group. Lancet 1996 https://pubmed.ncbi.nlm.nih.gov/8950879/

Zoledronic acid, clinical fractures and mortality after hip fracture: Lyles et al. NEMJ 2007. https://www.nejm.org/doi/full/10.1056/NEJMoa074941

National Hip Fracture Database: ⁠https://www.nhfd.co.uk/⁠

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




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

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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