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

## TL;DR

This paper argues that older adults should be allowed to bear full weight after hip fracture surgery to improve recovery, based on a review of global guidelines and evidence.

## Contribution

The paper introduces a unified position advocating for unrestricted weight-bearing post-surgery and calls for standardized monitoring and documentation practices.

## Key findings

- Unrestricted weight-bearing after hip fracture surgery is supported by current evidence to improve patient outcomes.
- Global variation in weight-bearing prescriptions highlights the need for standardized practices.
- Healthcare systems should re-evaluate and document any restrictions on weight-bearing.

## 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.