Fragility Fracture Network Position on Unrestricted Weight-Bearing After Hip Fracture Surgery

Ruqayyah Turabi; Frede Frihagen; Rhona McGlasson; David Wyatt; Alex Trompeter; Lauren Beaupre; Luiz Fernando Cocco; Matthew Costa; José Luis Dinamarca-Montecinos; Juan Carlos Viveros-García; Jae-Young Lim; Joon-Kiong Lee; Hui Min Khor; Cristina Ojeda-Thies; Monica Perracini; Takeshi Sawaguchi; Julie Switzer; Irewin Tabu; Ronald Man Yeung Wong; Wei Mao; Katie Jane Sheehan

doi:10.1177/21514593251351136

Fragility Fracture Network Position on Unrestricted Weight-Bearing After Hip Fracture Surgery

Ruqayyah Turabi, Frede Frihagen, Rhona McGlasson, David Wyatt, Alex Trompeter, Lauren Beaupre, Luiz Fernando Cocco, Matthew Costa, José Luis Dinamarca-Montecinos, Juan Carlos Viveros-García, Jae-Young Lim, Joon-Kiong Lee, Hui Min Khor, Cristina Ojeda-Thies, Monica Perracini, Takeshi Sawaguchi, Julie Switzer, Irewin Tabu, Ronald Man Yeung Wong, Wei MaoKatie Jane Sheehan

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Abstract

Objectives
This position paper from the Fragility Fracture Network (FFN) responds to the observed global variation in weight-bearing prescriptions after hip fracture surgery in older adults.
Methods
The paper summarises current guidelines and evidence regarding unrestricted weight-bearing after hip fracture surgery.
Results
The synthesis of available evidence supports the endorsement of unrestricted weight-bearing after surgery to enhance patient outcomes.
Conclusion
The FFN endorses unrestricted weight-bearing and recommends healthcare professionals, institutions, and policymakers re-evaluate practices favouring limited or non-weight-bearing prescriptions and establish a standardised system for monitoring and auditing, with clear justification and documentation of any restrictions.

Original language	English
Article number	21514593251351136
Number of pages	8
Journal	Geriatric Orthopaedic Surgery & Rehabilitation
Volume	16
Early online date	1 Jul 2025
DOIs	https://doi.org/10.1177/21514593251351136
Publication status	Published - 1 Dec 2025

Bibliographical note

Copyright © The Author(s) 2025.
This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

Funding

The publication of this paper is supported by the Fragility Fracture Network.

Keywords

hip fracture
rehabilitation
orthogeriatric care
weight-bearing
International collaboration

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10.1177/21514593251351136Licence: CC BY 4.0

turabi-et-al-2025-fragility-fracture-network-position-on-unrestricted-weight-bearing-after-hip-fracture-surgery
Copyright © The Author(s) 2025. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Final published version, 783 KBLicence: CC BY 4.0

Cite this

Turabi, R., Frihagen, F., McGlasson, R., Wyatt, D., Trompeter, A., Beaupre, L., Cocco, L. F., Costa, M., Dinamarca-Montecinos, J. L., Viveros-García, J. C., Lim, J.-Y., Lee, J.-K., Khor, H. M., Ojeda-Thies, C., Perracini, M., Sawaguchi, T., Switzer, J., Tabu, I., Yeung Wong, R. M., ... Sheehan, K. J. (2025). Fragility Fracture Network Position on Unrestricted Weight-Bearing After Hip Fracture Surgery. Geriatric Orthopaedic Surgery & Rehabilitation, 16, Article 21514593251351136. https://doi.org/10.1177/21514593251351136

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title = "Fragility Fracture Network Position on Unrestricted Weight-Bearing After Hip Fracture Surgery",

abstract = "ObjectivesThis position paper from the Fragility Fracture Network (FFN) responds to the observed global variation in weight-bearing prescriptions after hip fracture surgery in older adults.MethodsThe paper summarises current guidelines and evidence regarding unrestricted weight-bearing after hip fracture surgery.ResultsThe synthesis of available evidence supports the endorsement of unrestricted weight-bearing after surgery to enhance patient outcomes.ConclusionThe FFN endorses unrestricted weight-bearing and recommends healthcare professionals, institutions, and policymakers re-evaluate practices favouring limited or non-weight-bearing prescriptions and establish a standardised system for monitoring and auditing, with clear justification and documentation of any restrictions.",

keywords = "hip fracture, rehabilitation, orthogeriatric care, weight-bearing, International collaboration",

author = "Ruqayyah Turabi and Frede Frihagen and Rhona McGlasson and David Wyatt and Alex Trompeter and Lauren Beaupre and Cocco, {Luiz Fernando} and Matthew Costa and Dinamarca-Montecinos, {Jos{\'e} Luis} and Viveros-Garc{\'i}a, {Juan Carlos} and Jae-Young Lim and Joon-Kiong Lee and Khor, {Hui Min} and Cristina Ojeda-Thies and Monica Perracini and Takeshi Sawaguchi and Julie Switzer and Irewin Tabu and {Yeung Wong}, {Ronald Man} and Wei Mao and Sheehan, {Katie Jane}",

note = "Copyright {\textcopyright} The Author(s) 2025. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).",

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Turabi, R, Frihagen, F, McGlasson, R, Wyatt, D, Trompeter, A, Beaupre, L, Cocco, LF, Costa, M, Dinamarca-Montecinos, JL, Viveros-García, JC, Lim, J-Y, Lee, J-K, Khor, HM, Ojeda-Thies, C, Perracini, M, Sawaguchi, T, Switzer, J, Tabu, I, Yeung Wong, RM, Mao, W & Sheehan, KJ 2025, 'Fragility Fracture Network Position on Unrestricted Weight-Bearing After Hip Fracture Surgery', Geriatric Orthopaedic Surgery & Rehabilitation, vol. 16, 21514593251351136. https://doi.org/10.1177/21514593251351136

TY - JOUR

T1 - Fragility Fracture Network Position on Unrestricted Weight-Bearing After Hip Fracture Surgery

AU - Turabi, Ruqayyah

AU - Frihagen, Frede

AU - McGlasson, Rhona

AU - Wyatt, David

AU - Trompeter, Alex

AU - Beaupre, Lauren

AU - Cocco, Luiz Fernando

AU - Costa, Matthew

AU - Dinamarca-Montecinos, José Luis

AU - Viveros-García, Juan Carlos

AU - Lim, Jae-Young

AU - Lee, Joon-Kiong

AU - Khor, Hui Min

AU - Ojeda-Thies, Cristina

AU - Perracini, Monica

AU - Sawaguchi, Takeshi

AU - Switzer, Julie

AU - Tabu, Irewin

AU - Yeung Wong, Ronald Man

AU - Mao, Wei

AU - Sheehan, Katie Jane

N1 - Copyright © The Author(s) 2025. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

PY - 2025/12/1

Y1 - 2025/12/1

N2 - ObjectivesThis position paper from the Fragility Fracture Network (FFN) responds to the observed global variation in weight-bearing prescriptions after hip fracture surgery in older adults.MethodsThe paper summarises current guidelines and evidence regarding unrestricted weight-bearing after hip fracture surgery.ResultsThe synthesis of available evidence supports the endorsement of unrestricted weight-bearing after surgery to enhance patient outcomes.ConclusionThe FFN endorses unrestricted weight-bearing and recommends healthcare professionals, institutions, and policymakers re-evaluate practices favouring limited or non-weight-bearing prescriptions and establish a standardised system for monitoring and auditing, with clear justification and documentation of any restrictions.

AB - ObjectivesThis position paper from the Fragility Fracture Network (FFN) responds to the observed global variation in weight-bearing prescriptions after hip fracture surgery in older adults.MethodsThe paper summarises current guidelines and evidence regarding unrestricted weight-bearing after hip fracture surgery.ResultsThe synthesis of available evidence supports the endorsement of unrestricted weight-bearing after surgery to enhance patient outcomes.ConclusionThe FFN endorses unrestricted weight-bearing and recommends healthcare professionals, institutions, and policymakers re-evaluate practices favouring limited or non-weight-bearing prescriptions and establish a standardised system for monitoring and auditing, with clear justification and documentation of any restrictions.

KW - hip fracture

KW - rehabilitation

KW - orthogeriatric care

KW - weight-bearing

KW - International collaboration

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DO - 10.1177/21514593251351136

M3 - Article

SN - 2151-4593

VL - 16

JO - Geriatric Orthopaedic Surgery & Rehabilitation

JF - Geriatric Orthopaedic Surgery & Rehabilitation

M1 - 21514593251351136

ER -

Fragility Fracture Network Position on Unrestricted Weight-Bearing After Hip Fracture Surgery

Abstract

Bibliographical note

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Keywords

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