15 min.

Co-Chairs: Jay Magaziner (Epidemiologist, USA), FFN President
Rhona McGlasson (Physio, Canada), Local Organizing Chair

75 min.

Moderator: Lynn McNicoll (Geriatrician, USA)
Co-Chair: Iain Moppett (Anaesthesist, UK)

Overview and Objective: This session will present current evidence on best practices for common issues that arise in the management of older adults who experience a hip fracture. We want the audience to understand the importance of these issues and how to move towards best practices in their own setting.

60 min.

Moderators: Paolo Falaschi (Geriatrician, Italy), Stefano Eleutari (Psychologist, Italy)

Description: This workshop will present the importance of creating educational projects to train healthcare professionals (HCP) to optimize the management of older patients with fragility fracture worldwide. The FFN Educational Projects will be described. This workshop will be of great interest to all healthcare practitioners involved in the multidisciplinary approach to fractures.

60 min.

Moderators: Robyn Speerin (Nurse, Australia)

Description: The proposed workshop will address the FFN Call to Action priority area of rapid secondary prevention through reporting of the outcomes of the membership survey conducted in May/June 2021 regrading delivery of secondary fracture prevention services globally. The workshop will focus on key outcomes both positive and any requiring peer mentoring to improve. Discussion will be encouraged by those attending the workshop in person as well as those on-line.

60 min.

Moderator: William Eardley (Surgeon, UK)

Description:This workshop will look at the broader scope of managing injured older patients at pathway level. Much has been learned from the United Kingdom National Hip Fracture Database (NHFD) both in terms of processes of care and in research advancement. Additionally, there is an equally often disadvantaged injury population: the older major trauma patient. The Trauma Audit Research Network (TARN), like the NHFD has been central to improving and assuring care in the older patient.

We will present two talks and host a panel discussion regarding challenges facing the global provision of care with particular focus on these two populations. The audience will gain understanding of where we have come from, where we are now and hopefully through debate, improving where we are going to with fragility trauma.

60 min.

Moderators: Karen Adam (National Clinical Advisor, Scotland)

Description: This workshop is aimed at participants/attendees who are planning to implement/have just commenced a hip fracture audit. The workshop will provide an overview of three existing hip fracture audits from Scotland (SHFA), Ireland (IHFD) and Australia New Zealand (ANZHFR), as well as a summary of the impact of COVID-19 on hip fracture audits globally. The workshop will cover specific challenges and solutions to their operation, care standards, and governance arrangements. A summary of the IMPACT study will be shared highlighting the unexpected benefits this global collaboration brought about.

60 min.

Moderators: Simon C. Mears (Surgeon, USA)

Description: The aim of this symposium is to review the problem and techniques of acute total hip arthroplasty for acetabular fractures for orthopaedic surgeons and those interested in the care of these complex patients. We will review the two active prospective randomized trials on this subject. A new approach using a cone prosthesis will be shown and finally we will try to apply this knowledge with current recommendations and panel case discussion.

60 min.

Moderators: Kathleen K. Mangione (Physio, USA), Suzanne N. Morin (Internist, CAN)

Description: Functional recovery after hip fracture is incomplete. This session will describe studies that address different methods of enhancing recovery and factors or strategies that improve adherence.

• Objective 1: Identify the impact of frailty on walking recovery
• Objective 2: Describe characteristics that affect fidelity and how fidelity affects walking outcome.
• Intended audience: researchers and clinicians focused on improving functional recovery post hip fracture.

11:45-12:15

FOR PROGRAM DETAILS PLEASE CLICK HERE

12:15-12:45

Co-Host: Emer Ahern (Geriatrician, Ireland), Antony Johansen (Geriatrician, UK)

12:15-12:45

Co-Host: Caitriona Cunningham

12:15-12:45

Co-Host: Robyn Speerin (Nurse, Australia), Kim Ferguson (Occupational Therapist, New Zealand)

45 min.

75 min.

Moderator: Opinder Sahota (Geriatrician, UK)
Co-Chair: Pernille Herman (Endocrinologist, Denmark)

Overview and Objective: This session will cover diverse issues in secondary fracture prevention including falls prevention as well as performance metrics. We want the audience to consider how to move best secondary fracture prevention practices into clinical care.

60 min.

Canadian Geriatric Society (CGS)
American Geriatric Society (AGS)
Fragility Fracture Network (FFN)

Co-Chairs: Jenny Thain (Geriatrician, Candada, FFN/CGS), Daniel Mendelson (Geriatrician, USA, FFN/AGS)

Objectives: This session will be a discussion of the state of geriatric-orthopaedics co-management in Canada and US. We want the audience to learn pearls for overcoming barriers and identifying opportunities. The presenters are representative of the Canadian Geriatric Society and the American Geriatrics Society.

60 min.

Canadian Orthopaedic Nurses Association (CONA)
National Association of Orthopaedic Nurses (NAON)
International Consortium of Orthopaedic Nurses (ICON)
Fragility Fracture Network (FFN)

Co-Chairs: Louise Brent (Nurse, FFN/ICON)

Learning Objectives: Speakers will discuss the creation of an international collaboration of Ortho nursing (ICON). Through providing examples of how global alliances advance orthopaedic nursing care, the audience will learn how to engage with global members to advance nursing care.

60 min.

Fragility Fracture Alliance (FFA)
Canadian Orthopaedic Association (COA)
Fragility Fracture Network (FFN)
International Geriatric Fracture Society (IGFS)

Co-Chairs: Matt Costa (Surgeon, UK, FFN), Simon Mears (Surgeon, USA, FFA, IGFS), Pierre Guy (Surgeon, CAN, COA)

Objectives: This symposia will cover two surgical areas of importance for hip fractures with a debate based format. First we will debate the best surgical treatment of the unstable intertrochanteric fracture. Second we will contrast efforts to develop registries across Canada, the United States and worldwide. The audience will gain an understanding of the benefits and risks of each approach.

60 min.

75 min.

Moderator: Monica Perracini (Physio, Brazil)
Co-Chair: Katie Sheehan (Physio, UK)

Overview and Objectives: This session will cover rehabilitation following hip fracture in diverse settings with a focus on those who live with cognitive impairment. We want the audience to consider the inclusion of those with cognitive into post-fracture rehabilitation programs.

60 min.

Moderator: Dave Marsh (Surgeon, UK)

Overview and Objectives: We will consider two burning issues, each with a pre-recorded introductory talk by a leader from one region, based on the current status in that region, followed by a live discussion with panelists from all regions.

60 min.

Moderator: Robyn Speerin (Australia)

Description: This workshop will present two jurisdictional successes in providing and supporting FLS across many service sites. Experiences in Australia and Canada will reveal two different approaches. Despite these differences, outcomes and problems requiring attention were very alike.

60 min.

Moderators: Lauren Beaupre (Physio, CAN)
Co-Chair: Mark Neuman (Anesthesist, USA)

Description: This session will provide an overview of implementation science concepts using case studies of US and Canadian efforts to:
a) improve uptake of proven secondary prevention strategies for individuals with incident hip and other fragility fractures
b) promote use of peripheral nerve blockade as an opioid-sparing pain treatment strategies for individuals with hip fractures.
Through these case studies, the audience will learn opportunities and challenges of implementation efforts to move evidence into practice and can bring these learnings into their own efforts to provide best practices to their patients.

60 min.

Moderator: Mark Baxter (UK)

Description: This workshop will explore the opportunities and challenges provided by coordinator based Fracture prevention services to offer more holistic models of care for patients. Many of those presenting with fragility fractures have multiple co-morbidities and frailty, multidisciplinary assessment and intervention may address the needs of those most at risk of further injurious falls.

60 min.

Moderators: Louise Brent (Ireland), Karen Hertz (UK), Anita Meehan (USA), Ami Hommel (Sweden)

Description: We will focus on how nursing roles adapted due to COVID. We will have the perspectives of caring for fragility fracture patients from a number of different nursing roles.

60 min.

Moderators: Jenny Thain (CAN), Opinder Sahota (Geriatrician, UK), Manuela Ferreira (Physio, Australia), Paul A Anderson (Surgeon, USA)

Description: Vertebral Fragility Fractures (VFF) are common affecting 30-50% of adults over 50 years with a significant proportion admitted to hospital as an acute medical emergency. Prevention and treatment of VFFs require a multi-disciplinary approach, incorporating areas such as physical activity, targeted exercise and specialized medical care. The aim of this workshop is to put these important areas into clinical context and allow clinicians to deliver optimal, evidence based clinical practice to their patients.

30 min.

FOR PROGRAM DETAILS PLEASE CLICK HERE

12:15-12:45

Co-Host: Katie Sheehan (Physio, UK), Caroline Wyers

45 min.

60 min.

American Society for Bone and Mineral Research (ASBMR)
International Osteoporosis Foundation (IOF)
Fragility Fracture Network (FFN)

Co-Chairs: Donato Agnusdei (Endocrinologist, Italy, FFN); Jane Cauley (Epidemiologist, USA, ASBMR); Cyrus Cooper (Rheumatologist, UK, IOF)

Objectives: We want the audience to learn about the work that these 3 organizations are undertaking to improve secondary fracture prevention for patients who experience fragility fractures. The panelist discussions will also demonstrate how these groups’ intersecting interests will advance the global mandate to improve care of this growing patient population.

60 min.

International Society of Orthopaedic Surgery and Traumatology (SICOT)
Fragility Fracture Network (FFN)

Co-Chairs: David Marsh (Surgeon, UK, FFN), James Waddell (Surgeon, CAN, SICOT)

Objectives: The goal of this workshop is to tease out the factors which predict the best outcome in an older person with femoral neck fracture, taking into account the characteristics of both the patient and the environment. The audience will learn the pros and cons of each approach that must be considered in their clinical decision-making.

60 min.

Canadian Physiotherapy Association (CPA)
American Physical Therapy Association (APTA)

Co-Chairs: Rhona McGlasson (Physio, CAN, FFN/CPA), Kate Mangione (Physio, USA, APTA)

Description: COVID-19 has changed the way physiotherapy services are provided in all sectors including hospitals, the community and outpatients. The audience will learn how we have adapted services to better meet the needs of patients. There will be an active discussion on how the physiotherapy profession can leverage these learnings to create new models of care to meet the needs of patients in a post pandemic world.

CPA Perspectives: Caitlin McArthur (Physio, CAN)

Clinical Panelists:
Janet Roberto (Physio, USA), Home Care and Hospice)
Sarah Cooper (Physio, USA), Rehab Services
Mandy McGlynn (Physio, Canada) In-patient Rehabilitation
Emily Stevenson (Physio, Canada) Community Rehabilitation

75 min.

Moderator: Emer Ahern (Geriatrician, Ireland)
Co-Chair: Dave Marsh (Surgeon, UK)

Overview and Objective: This session will examine how data can be used to evaluate and improve the care and outcomes of patients who experience hip fracture with perspectives from 3 different countries and health care systems. The audience will learn methods that data collection and evaluation are being used around the world.

15 min.

Co-Chair: Hannah Seymour (Geriatrician, Australia), Incoming FFN President