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

Turabi, Ruqayyah; Frihagen, Frede; McGlasson, Rhona; Wyatt, David; Trompeter, Alex; Beaupre, Lauren; Cocco, Luiz Fernando; Costa, Matthew et al. · Geriatr Orthop Surg Rehabil · 2025

expert_opinion · Level V

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Abstract

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. The paper summarises current guidelines and evidence regarding unrestricted weight-bearing after hip fracture surgery. The synthesis of available evidence supports the endorsement of unrestricted weight-bearing after surgery to enhance patient outcomes. 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.

Anatomy