More Implants, More Complexity: The Rise of Periprosthetic Fractures

More Implants, More Complexity: The Rise of Periprosthetic Fractures

Send us Fan Mail [https://www.buzzsprout.com/1739857/fan_mail/new] In this episode of Hipcast, we’re joined by Associate Professor Chris Wall, Director of the Department of Orthopaedics at Toowoomba Hospital, Orthopaedic Surgery Co-Chair of the Australian and New Zealand Hip Fracture Registry, and Assistant Deputy Registry Clinical Director for the Australian Orthopaedic Association National Joint Replacement Registry. In this conversation, we explore periprosthetic femur fractures - an increasingly common and complex challenge as rates of joint replacement continue to rise. Chris outlines what these fractures are, who they affect, and why they matter in modern orthopaedic and orthogeriatric care. We discuss key aspects of management, including surgical decision-making and the challenges of fixation versus revision, as well as what current data tells us about patient outcomes. Importantly, the episode highlights why including periprosthetic fractures in registry data is critical, and how this can support better understanding, improved care, and system-wide quality improvement. 🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.

Preventing the Fall: The Missing Piece in Hip Fracture Care

Send us Fan Mail [https://www.buzzsprout.com/1739857/fan_mail/new] In this episode of Hipcast, we’re joined by Professor Kim Delbaere, Discipline Lead of Physiotherapy at UNSW Sydney and Senior Principal Research Scientist at Neuroscience Research Australia, as well as Immediate Past President of the Australian and New Zealand Falls Prevention Society. In this conversation, we explore the important relationship between falls prevention and hip fracture care, and why preventing falls remains a critical – but often under-recognised – part of improving outcomes for older adults. Kim discusses the work of the Falls Prevention Alliance Australia, the current national landscape of falls prevention, and some of the key challenges in translating strong evidence into real-world practice across health systems and communities. Importantly, the discussion highlights the role clinicians, health services, and communities can play in strengthening falls prevention efforts, along with practical insights for those working in hip fracture care. 🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.

Five Years at the Top: Lessons from the Waitematā Golden Hip Team

Send us Fan Mail [https://www.buzzsprout.com/1739857/fan_mail/new] In this episode of Hipcast, we’re joined by the Waitematā Hip Fracture Team in Aotearoa New Zealand, winners of the ANZHFR Golden Hip Award for five consecutive years. Dr Min Yee Seow (Clinical Lead, Orthogeriatric Service), Vandhana Sharan (Orthopaedic Charge Nurse), and Kyleigh Pailman (Orthopaedic Physiotherapist) share how their multidisciplinary team has built one of the highest-performing hip fracture services across Australia and New Zealand. The conversation explores the practical systems, team culture, and small operational changes that help Waitematā consistently deliver high-quality care – from coordinated multidisciplinary teamwork and early mobilisation to managing common challenges such as delirium and patient flow. Importantly, the team reflects on the lessons learned along the way and offers practical advice for services looking to improve their own hip fracture care. Whether you work in orthopaedics, geriatrics, nursing, physiotherapy, or health service leadership, this episode provides valuable insights into how strong teamwork and continuous improvement can translate into better outcomes for patients with hip fracture. 🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.

Rehab at Home: The Hutt Valley Model for Hip Fracture Recovery

Send us Fan Mail [https://www.buzzsprout.com/1739857/fan_mail/new] In this episode of Hipcast, we’re joined by Lauren Wulff, a community physiotherapist with the AWHI Early Supported Discharge Team in the Hutt Valley, New Zealand. With limited access to inpatient rehabilitation beds, Lauren and her team have built a comprehensive, high-functioning community-based rehabilitation model that supports patients from the moment they leave hospital. Lauren shares how the Hutt Valley service delivers safe early discharge, provides intensive home-based rehabilitation, and equips patients and whānau with the skills, confidence, and support they need to regain mobility and independence. Whether you work in orthopaedics, geriatrics, allied health, general practice, or community care, this episode provides actionable insights into delivering high-quality rehabilitation outside the traditional ward environment. 🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.

From Fracture to Prevention: The New SOSFA Clinical Standards

Send us Fan Mail [https://www.buzzsprout.com/1739857/fan_mail/new] In this episode of Hipcast, we explore the newly released Clinical Standards for Secondary Fracture Prevention Programs [https://download-files.wixmp.com/ugd/ee3e8b_a9c4eab2716147ca986d8480f1a7a39e.pdf?token=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.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.RwrdsgbekRQPNupKnHCuxI0jlbRYaUKr_lTuz-P_kxM], developed by the SOS Fracture Alliance (SOSFA) [https://www.sosfracturealliance.org.au/single-post/australian-national-clinical-standards-for-secondary-fracture-prevention-launched] and released in November 2025. Joining us are: * Professor Markus Seibel, Chair of the SOS Fracture Alliance and Professor of Medicine at The University of Sydney * Dr Lauren Nacey, Geriatrician and leader in secondary fracture prevention * Professor Rudi Jaarsma, Academic and Clinical Director of Orthopaedic Surgery at Flinders Medical Centre * Dr Fiona Mackie, consumer representative with lived experience of osteoporosis and fracture risk Together, they discuss why these standards were developed, the evidence and expertise that informed them, and how they aim to improve care for people who sustain a fragility fracture. 🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.