Plenary Speakers

• Latest evidence in hip fracture: Does it matter how we fix arthroplasty implants to the bone?

Matt Costa

Matt Costa

Orthopaedic surgeon, UK
Matthew Costa PhD, FRCS (Tr&Orth) Professor of Orthopaedic Trauma Surgery at the University of Oxford and Honorary Consultant Trauma Surgeon at the John Radcliffe Hospital, Oxford.
Matt’s research interest is in clinical and cost effectiveness of musculoskeletal trauma interventions. He is Lead Investigator for a series of randomised trials and associated studies supported by grants from the UK NIHR. His work has been cited widely and informs many guidelines from the National Institute for Health and Care Excellence.
Matt is the NIHR National Specialty Lead for Trauma and Emergency Care and the NIHR Musculoskeletal Trauma Trials Network. He is also a member of the NIHR HTA Research Board and Associate Editor for Trauma and Research Methods at the Bone and Joint Journal.
Matt is past President of the Orthopaedic Trauma Society and past President of the Global Fragility Fracture Network.

• IHip fracture care – a Latin American perspective

José Luis Dinamarca Montecinos

José Luis Dinamarca Montecinos

Geriatrician, Chile
José Luis Dinamarca is the co-chair of the FFN´s Scientific Committee. Chilean geriatrician, PhD and MSc in Social Gerontology, graduated from the Latin American Academy of Medicine for the Older Adult (ALMA). Head of the Orthogeriatrics program at the Dr. Gustavo Fricke Hospital in Viña del Mar. Professor of Geriatrics and Orthogeriatrics at the University of Valparaíso. Researcher in Orthogeriatrics. Advisor to the Chilean Ministry of Health on issues of Orthogeriatrics. Creator and introducer of the concept of Dysmobility in Geriatrics. Chief Editor of BHVM, p2p-indexed scientific journal of the Lucas Sierra Foundation. Member of the Chilean Society of Geriatrics and Gerontology and the Chilean Society of Psychogeriatrics. Part of his time is dedicated to literature, being the author of the book of medical stories "Delantal de Médico" (The Physician's apron).

• Delirium – how to prevent, detect and treat

Alasdair MacLullich

Alasdair MacLullich

Geriatrician, UK
Alasdair MacLullich is Professor of Geriatric Medicine at the University of Edinburgh in Scotland. He is trained in medicine and psychology. Following a PhD in cognitive ageing he became Lecturer then MRC Clinician Scientist Fellow before taking up his present post. Alasdair works clinically (50%) in acute orthogeriatrics and acute geriatrics. His research interests include the clinical assessment and care of delirium, and the use of large scale routine data to understand delirium and hip fracture outcomes. He is the main author of the 4AT delirium detection tool (www.the4AT.com) used widely in routine care internationally including as part of several hip fracture registries. He also has developed neuropsychological research tools including the Observational Scale of Level of Arousal (OSLA). Alasdair is active in education, advocacy, and clinical implementation in delirium and hip fracture care. He is Chair of the Scottish Government Hip Fracture Audit. He co-founded the European Delirium Association, and co-chaired the Scottish Intercollegiate Guidelines Group (SIGN) national delirium guidelines committee. Twitter: @a_maclullich.

• Should all hip fracture patients have surgery?

Cecilia Rogmark

Cecilia Rogmark

Orthopaedic surgeon, Sweden
Cecilia Rogmark is an orthopaedic surgeon at Skane University Hospital in Malmö-Lund, Sweden, since 1995, and was appointed consultant in 2004.
Cecilia Rogmark defended her PhD thesis in 2003. Thereafter, she was appointed national project leader of the Swedish Hip Arthroplasty Register, responsible for the fracture cases.
In 2012 Cecilia Rogmark became associate professor at Lund University. Her research team focus on both specific surgical issues in the treatment of hip fractures and on improving the entire clinical pathway to optimize outcome in orthogeriatrics. In addition, she engages herself in evidence-based treatment of fractures in general, for example as a member of the steering committee of the Swedish Fracture Register.

• Effective nurse intervention in acute fracture care

Peter van den Berg, Nurse

Peter van den Berg, Nurse

The Netherlands
Peter van den Berg was born in and still resides in Delft, Netherlands. He started his nursing training at the St. Hippolytus Hospital Delft and after obtaining the diploma (1981), he further specialised as a nurse cast technician (Leiden University Hospital (1986)), obtained a nursing Management degree at the Leiden Hogeschool (2005) and finally the degree of Master of Advanced Nursing Practice (Leiden Hogeschool 2007). He is currently working as a coordinating nurse practitioner at the Fracture Liaison Service of the Reinier de Graaf Gasthuis, Delft.
In January 2014, he started his PhD project at the Maastricht University Medical Center, which resulted in a thesis defended in 2020.
Currently he is taking part in a Governmental multidisciplinary working group (Zorginstitiuut) regarding Dutch secondary fracture prevention and osteoporosis care and he is a member of the follow-up group on the new Dutch guideline on secondary fracture care and falls prevention. Recently he completed training as an IOF Capture the Fracture mentor. He is chairman of the Dutch nurses and nurse practitioners’ association in secondary fracture prevention and osteoporosis care organized through the national Professional Association Falls, Fracture and Osteoporosis.

• Rapid and intensive rehabilitation – is it possible?

Morten Tange Kristiansen

Morten Tange Kristiansen

Physiotherapist, Denmark
Morten Tange Kristiansen is a Physical Therapy Professor at the Department of Physical and Occupational Therapy, Copenhagen University Hospital, Bispebjerg-Frederiksberg and Department of Clinical Medicine, University of Copenhagen, Denmark. Morten’s clinical career has focused on working with older adults with Orthopedic conditions (especially patients with hip fracture and lower limb amputations) in acute care settings. Likewise, Dr. Kristensen’s research within the last 15 years include acute care, but also some municipality-based exercise studies, on patients with hip fracture in addition to the development/validation of outcome measures within the same patient group. All research is available from: https://www.researchgate.net/profile/Morten-Kristensen
Morten is the developer of the Basic Amputee Mobility Score, and co-developer and responsible for the Cumulated Ambulation Score, which is translated into more than 15 languages, included in 2 national hip fracture databases, and recommended in the APTA, Clinical Practice Guideline (CPG) for older patients with hip fracture: https://pubmed.ncbi.nlm.nih.gov/33522384/Morten served on the task force that developed this CPG, and he is a board member of the Multidisciplinary Danish Hip Fracture Database. He is also the Co-lead of the FFN, Physiotherapy Special Interest Group (SIG), an advisory bord member of the Hip Fracture Recovery Research SIG and member of the scientific committee of the FFN. Morten is also the recipient of the Danish Physiotherapy Associations “Special Research Award”.

• Nutritional interventions – food or supplements

Jack Bell

Jack Bell

Dietitian, Australia
Dr Jack Bell is an Allied Health Principal Research Fellow and Advanced Accredited Practising Dietitian at the Prince Charles Hospital, and honorary Associate Professor at the University of Queensland, Australia. He has worked clinically in orthogeriatric settings for 25 years.  Key interests include implementation approaches that support interdisciplinary nutrition care across orthogeriatric settings, values-based healthcare, and camping off-grid with his family.

• Secondary prevention – the Asia-Pacific perspective

Joon Kiong Lee

Joon Kiong Lee

Orthopaedic surgeon, Malaysia
1.   Deputy Medical Director, Chair of the Surgical Committee at Beacon Hospital, Petaling Jaya, Selangor, Malaysia.
2.   President, Asia Pacific Osteoporosis and Fragility Fracture Society (APOFFS), a section of Asia Pacific Orthopaedic Association (APOA)
3.   President of the Fragility Fracture Network Malaysia (FFNM)
4.   President of Malaysian Bone-health Optimization Network (MyBONe)
5.   Board Member of Fragility Fracture Network (FFN)
6.   Past President of ISCD (International Society for Clinical Densitometry) with ISCD Dr. Paul D. Miller Service Award in 2018.
7.   Chair of the Asia Pacific Regional Advisory Council (RAC) of the International Osteoporosis Foundation (IOF) with the 2020 IOF President’s Award.
8.   Co-Chair of the Asia Pacific Fragility Fracture Alliance (APFFA) and Co-Editor of the APFFA Hip Fracture Registry Toolkit.
9.   Founding and Past President of the Osteoporosis Awareness Society of Kuala Lumpur and Selangor (OASKLS) and also the Past President of Malaysian Osteoporosis Society (MOS)
10.    A member of the steering committee for the Asia Pacific Bone Academy and South East Asia, India & Hong Kong Bone Academy.

• World falls guidelines 2022 – status of implementation

Nathalie van der Velde

Nathalie van der Velde

Geriatrician, The Netherlands

Nathalie van der Velde is a consultant and full professor at the Geriatrics Department of the Amsterdam UMC, The Netherlands. She serves as principal investigator and leader of the research line ‘person-centered falls & fracture prevention’. Since 2022 she is a member of the Academic Board of the European Geriatric Medicine Society (EuGMS).

With regard to editorial tasks she has started as an Associate Editor for Age & Ageing in 2019 and has been appointed Deputy Editor-in-Chief in 2022. Furthermore, she is an Associate Editor of the Annals of Medicine.

Nathalie is both nationally and internationally involved in activities to improve falls and fracture prevention. She chairs the EuGMS SIG Falls and Fractures and its Task and Finish Group on fall-risk-increasing drugs and starting this year she will represent the EuGMS at the board of the Fragility Fracture Network. She is also a co-chair of the steering group of the World Falls Guideline initiative, and co-lead its polypharmacy working group. Furthermore, She is a member of the organizing committee of the World Congress on Falls and Postural Stability.

On a national level, she is co-founder and chair of the board of the annual Dutch Falls Symposium. Besides, she chairs the Dutch SIG on Falls prevention and she is a member of the board of the Dutch Syncope and Autonomic Disorders group and of the steering committee of the Dutch Falls and Dizziness Guidelines cluster. She has (co-)authored various book chapters on falls prevention, syncope/TLOC and pharmacology/deprescribing and has published over 180 peer-reviewed articles.

She has received several awards: ‘top-cited article’ of JAMDA (2018); selection for several leadership programs (AMC: 2016; Dutch Geriatrics Society: 2015; Erasmus MC: 2009); best PhD Thesis in Geriatric Medicine (NVKG, 2007-2008); the British Journal Clinical Pharmacology prize best articles (2007); as well as several poster and presentation prizes.

Scientific publications: https://orcid.org/0000-0002-6477-6209

• International hip fracture comparisons; results from the first EHDEN hip fracture studyathon

Xavier Griffin

Xavier Griffin

Orthopaedic surgeon, UK

Professor Xavier Griffin spearheads academic orthopaedics at QMUL and Barts Health, having joined as the inaugural chair of Bone & Joint Health. Xavier’s vision is for worldclass excellence in research and clinical academic training; providing opportunity for the next generation of clinician scientists to realise their aspirations.

Xavier is a NIHR Clinician Scientist and has been awarded over £10m of research funding.His research interest is in clinical and cost effectiveness of musculoskeletal trauma interventions.

Xavier serves in the Reserve Forces, outside of work he can be found mountain biking or rock climbing usually with his young sons in tow!

• Health economy – getting value for money when delivering high quality care for fragility fracture patients

Celia Gregson

Celia Gregson

Epidemiologist, UK

Celia Gregson is a Professor of Clinical Epidemiology at the Musculoskeletal Research Unit, University of Bristol, an Honorary Consultant Orthogeriatrician at the Royal United Hospital NHS Foundation Trust in Bath in the UK and a Senior Scientist at The Health Research Unit Zimbabwe. Her research spans the epidemiology of fractures, osteoporosis, osteoarthritis and sarcopenia, including in sub-Saharan Africa, health service research particularly in relation to hip fracture care and the genetic epidemiology of extremes of bone density. She chairs the National Osteoporosis Guideline Group in the UK and sits on the Royal College of Physicians Falls and Fragility Fracture Audit Programme Scientific and Publications Committee. She is a Fellow of the Royal College of Physicians of London.

• Systematic secondary prevention of fragility fractures; results from the NoFract study

Lene Bergendal Solberg

Lene Bergendal Solberg

Orthopaedic Surgeon, PhD MD, Norway

Lene Bergendal Solberg PhD MD is Consultant Orthopaedic Surgeon at Oslo University Hospital in the hip- and knee reconstruction unit and responsible for the hip fractures and orthogeriatric care. She is president of the FFN Norway and member of the Local Organizing Committee for the FFN Global Congress in Oslo. Her research interest is in the field of osteoporosis, bone metabolism and orthogeriatric care. She was one of the main researchers in the Norwegian Capture the Fracture Initiative (NoFRACT) targeting secondary fracture prevention in Norway and has co-authored the Norwegian Orthopaedic guidelines for secondary fracture prevention.

• The new FFN Fragility Fracture and Orthogeriatric Nursing Book

Dr Julie Santy-Tomlinson

Dr Julie Santy-Tomlinson

Nurse, UK

Dr Julie Santy-Tomlinson, is a registered nurse, now retired. She had a clinical career in orthopaedic and trauma nursing in the UK, moving to nursing education and research in 1995. Her areas of clinical/research expertise are fractures, wound management, pressure injury prevention, infection prevention, and professional ethics. Her PhD study focused on the diagnosis of infection. She has published widely across the fields of nursing and orthopaedic and trauma care. She has been a passionate FFN activist since its early days and has been involved in various projects relating to nursing and education. She has authored, co-authored and edited several books, and is co-editor of the Fragility Fracture Nursing book, alongside Karen Hertz. She has recently retired from her role as Editor in Chief of the International Journal of Orthopaedic and Trauma Nursing, having retired from full time paid employment at the University of Manchester, UK in 2018. She previously worked at the Univertisy of Hull and the University of Bradford. She is currently Adjunct Associate Professor of Orthopaedic Nursing at Odense University Hospitals/University of Southern Denmark.

• Goals of care for older hip fracture patients – understanding what matters

Julie Switzer

Julie Switzer

Orthopaedic surgeon, USA

Julie A. Switzer, MD, FAOA, FAAOS, is a board-certified orthopaedic surgeon with specialization in upper extremity and geriatric orthopedics. Dr. Switzer served as Co-Chair for the AAOS Clinical Practice Guideline Workgroup on Hip Fractures in Elderly Patients; is a founding member and board member of the International Geriatric Fracture Society (IGFS), presently serving as President; is on the Board of the Fragility Fracture Network; and is on the Steering Committee of the AOA’s Own the Bone Program. Dr. Switzer recently retired as an Associate Professor from the University of Minnesota Department of Orthopaedic Surgery. She is Medical Director, Geriatric Orthopedics and TRIA Healthy Aging, with the HealthPartners Care Group. In this role, Dr. Switzer has spent the majority of her 20 year orthopedic career dedicated to establishing and leading an interdisciplinary, protocol-driven Geriatric Fracture Care Program, with a primary career goal to make a substantive difference in the field of geriatric orthopedics. This has been accomplished through a focus on enhancing care for older fracture patients in the perioperative period; preventing subsequent fractures in elderly fracture patients; and working with vulnerable populations of elders with musculoskeletal problems. Her work on Healthy Aging focuses primarily on the comprehensive care of arthritis, the most common chronic musculoskeletal condition of aging. Dr. Switzer is Course Director of the bi-annual, Geriatric Orthopaedic Fracture Conference, started one of the first Geriatric Orthopedic Trauma Fellowships in the US, and has also been involved in multiple national and international presentations. She has over 70 publications and chapters mostly related to bone health and musculoskeletal care in the senior population.

• Future care of fragility fracture patients in a global perspective

David Marsh

David Marsh

Professor emeritus Dave Marsh, Orthopaedic Surgeon, UK

David Marsh is a retired professor of orthopaedic surgery, now living in Umbria, Italy. He was active in the field of fragility fractures in the UK, driving the establishment of the National Hip Fracture Database as the first co-chair of its steering group; the British Orthopaedic Association and the UK Orthopaedic Trauma Society awarded him Honorary Fellowships for this work. Internationally, he chaired the Osteoporotic Fracture Campaign of the International Society for Fracture Repair since 2002 and was then the founding president of the Fragility Fracture Network in 2011. Multidisciplinary care has always been his theme, particularly the collaboration between orthopaedics and geriatric medicine, tackling both fragility and frailty in the older fracture patient. His current role in the FFN is chair of the Regionalisation Committee, focusing on the establishment of National FFNs that can drive the implementation of the three pillars of the orthogeriatric approach: acute co-management, rehabilitation and secondary prevention.

• In progress

Karen Hertz

Karen Hertz

Nurse

Karen Hertz is a registered nurse, working in the UK NHS as an advanced nurse practitioner (ANP).

She has worked for 36 years in a variety of roles in Trauma and orthopaedics, however her passion is for fragility fracture nursing and inter-disciplinary care. She has been actively involved in both the Global and National Fragility Fracture.
She has co-authored a number of Journal articles, book chapters and books on Fragility fracture management and allied subjects. Including co-editing Fragility Fracture and Orthogeriatric Nursing: Fragility Fracture and Orthogeriatric Nursing Holistic Care and Management of the Fragility Fracture and Orthogeriatric Patient due to be published in autumn 2023.
She is actively involved with the professional development and education of nurses, including educational activities within FFN.

• Getting FLSs started, effective and sustainable: International lessons

M Kassim Javaid

M Kassim Javaid

Rheumatologistt, UK

Dr Javaid is an honorary consultant adult rheumatologist and Associate Professor in metabolic bone disease at the University of Oxford. He specializes in common and rare metabolic bone diseases. He is the clinical lead for Oxford Fracture Prevention Service, and the national Fracture Liaison Service Audit for England and Wales and co-chairs the Capture the Fracture programme. He is the clinical lead for the Oxford Rare bone disease service for adults and the Musculoskeletal Genomic Clinical Interpretation partnership. His research interests include the epidemiology of musculoskeletal diseases with a focus on rare bone disorders, vitamin D and secondary fracture prevention.

• Getting FLSs started, effective and sustainable: International lessons

Jenny Lane,

Jenny Lane,

Orthoapedic Surgeon, UK

Jenny is a NIHR Academic Clinical Lecturer joining Barts to lead collaborative research whilst completing her training in Orthopaedic Surgery. Working within the OHDSI data science community, she uses large routinely collected datasets to improve our understanding of surgical treatments and the use of surgical devices.

Jenny is leading a group of 9 international hip fracture registries to identify global outcomes following surgery. She is also leading projects to generate evidence for underrepresented communities and rare orthopaedic diseases by combining Barts Health data with global partners.
Jenny undertook her PhD in Musculoskeletal Sciences at the University of Oxford and was funded by Versus Arthritis Clinical Research and MRC Doctoral Training Fellowships for this work. She focussed on the epidemiology of hand conditions which is now quoted in NHS guidelines for patients.During the Covid-19 pandemic she was also a core member of an international group of researchers investigating emerging pandemic treatments that changed national policies in Europe and the US.
Jenny studied undergraduate medicine at Exeter College, Oxford and undertook basic medical and surgical training in London. She graduated with distinction from Masters of Surgical Education at Imperial College, London and began training in Academic Orthopaedic surgery as a NIHR Academic Clinical Fellow in Oxford in 2014.

She lectures for the Masters in Surgical Science & Practice and DPhil in Musculoskeletal Sciences, University of Oxford, and aims to bring this expertise to East London. Outside of surgery, she spends her time as head chef and playdate social secretary to a 3 year old.

• Getting FLSs started, effective and sustainable: International lessons

Celia Gregson

Epidemiologist, UK

Celia Gregson is a Professor of Clinical Epidemiology at the Musculoskeletal Research Unit, University of Bristol, an Honorary Consultant Orthogeriatrician at the Royal United Hospital NHS Foundation Trust in Bath in the UK and a Senior Scientist at The Health Research Unit Zimbabwe.
Her research spans the epidemiology of fractures, osteoporosis, osteoarthritis and sarcopenia, including in sub-Saharan Africa, health service research particularly in relation to hip fracture care and the genetic epidemiology of extremes of bone density.
She chairs the National Osteoporosis Guideline Group in the UK and sits on the Royal College of Physicians Falls and Fragility Fracture Audit Programme Scientific and Publications Committee. She is a Fellow of the Royal College of Physicians of London.

Antony Johansen

Antony Johansen

Antony Johansen was the first UK consultant to be appointed as a full time orthogeriatrician, and has worked in the trauma unit of the University Hospital of Wales in Cardiff since 1997.

He has championed the specialty of orthogeriatrics; co-authoring the British Orthopaedic Association’s ‘Blue Book’ on Fragility Fracture, and the NICE Guidelines on Hip Fracture. Since 2013 he has been clinical lead for the National Hip Fracture Database (NHFD) at the Royal College of Physicians, London.

As an honorary professor in Cardiff University his research interests embrace the whole field of geriatric medicine, with a focus on quality improvement for older trauma patients.