Hip Fracture: The Rest Isn't Orthopaedics
Hosted by Dr. Raihaan Biju and Professor Antony Johansen, "Hip Fracture: The Rest Isn't Orthopaedics" explores the care of older patients through the lens of hip fracture management. Aimed at the whole healthcare team—nurses, physios, OTs, medics, surgeons, and students—we cover key topics including frailty, acute care, pain relief, delirium, and nutrition. Designed to be practical, concise, and relevant for the whole MDT, we hope you enjoy!
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 nutrition, or lack thereof, as well as ward-based strategies such as red trays and dietetic assistants. We also highlight the vital role family members play. Drawing on both research and real-world practice, we show why nutrition isn’t just supportive care, but a frontline therapy where families and healthcare teams must work hand in hand.
Links: Professor Johansen's Youtube Channel: https://www.youtube.com/chan...
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 explore why early mobilisation matters, the barriers that can get in the way, and how the best hospitals anticipate and overcome them. We shine a spotlight on the crucial role physiotherapists play — helping patients take those first steps — alongside the wider multidisciplinary team and families who support the journey back to independence.
Links:
Professor Johansen's Youtube Channel: https...
Delirium, More Than Just Confusion
In today's episode we follow Grace, who seems confused despite a successful hip surgery. This episode unpacks the difference between dementia and delirium, why delirium matters so much in hip fracture care, and what the evidence shows we can do to prevent it. With practical bedside tips and strategies, we explore how the whole team — from doctors to nurses to families — can reduce the burden of this hidden complication.
Links:
Professor Johansen's Youtube Channel: https://www.youtube.com/channel/UCb9FIaniDuLVxogePl8Ti3A
KPI 5, from the NFHD: https://www.nhfd.co.uk...
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 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 multid...
Introduction: Hip Fracture as a lens for the care of older people.
Hip fractures are one of the most common reasons for older adults to be admitted to hospital — but the rest isn’t just about Orthopaedics. Behind every fracture lies frailty, delirium, dementia, nutrition, rehabilitation, and the need for coordinated multidisciplinary teamwork. In this episode, we use hip fracture care as a lens to explore the wider challenges of caring for older patients in hospital. From the early days of surgical defeatism to today’s orthogeriatric-led models and national audit, we ask: what can hip fracture care teach us about treating older adults more holistically?
Links:
Profess...
