AO Trauma Course—Fracture Care in Older Adults

This course is aimed at General trauma surgeons, orthopedic surgeons, geriatricians, and medicine physicians who want to:

  • Improve their surgical and medical care of patients with fragility fractures
  • Make improvements in their hospital's and department's approach to fracture care in older adults

Participants should be actively involved in fragility fracture care. In addition, surgeon participants should have completed the AO Trauma Courses—Basic Principles and Advanced Principles of Fracture Management.

Participants will learn how the overall care of the fragility fracture patient can be substantially improved. Since the fracture represents only one aspect, orthogeriatric comanagement of the patient from admission to completion of rehabilitation is the optimal approach. This course delivers the latest evidence as well as practical details on the comprehensive management of fragility fractures in older adults, with the aim of changing attitudes and improving the care of this patient group.

Why you should choose this course

Top national, regional, and international faculty

2-3 days in duration

For surgeons who already treat (older adults)

Network with colleagues from all over the world

CME credits

Course content

  • Course modules

    Module 1: Preoperative phase


    • Principles of comanaged care
    • Comorbidity and preoperative optimization
    •  Functional status, treatment goals, and prognosis
    • Anticoagulation

    Module 2: Operative phase – Day 1


    • Regional versus general anesthesia–does it matter?
    • Bleeding (optional)

    Case Based discussions:

    • Upper extremity
    • Proximal humerus
    • Around the elbow
    • Around the wrist
    • Lower extremity
    • Femoral neck fractures and per-/subtrochanteric fractures
    • Pelvis and acetabulum
    • Periprosthetic femur fractures
    • Fractures around the knee and ankle
    • Principles, typical failures, and solutions
    • Sarcopenia, frailty, and nutrition
    • Pain medication: Pre and postoperative
    • Atypical fractures

    Module 3: Operative phase


    • Full weight bearing
    •  Postoperative medical management
    •  Evaluation and management of falls
    • Secondary fracture prevention–case
    • Osteoporosis management–treatment algorithm
    • Delirium

    Module 4: Orthogeriatric co-management

    • How to involve your team (what elements do you need and how do you create the optimal team) – stress importance of communication, etc
    • What is necessary for efficient smooth implementation (protocols, etc)?
    • How to convince your hospital management (resources and to pay for it)?
  • Practical exercises
    1. Femoral nail with augmentation
    2. Periprosthetic fracture fixation

Course details may be subject to change. Please check your chosen date and location for the detailed program.

Target audience

  • Practicing surgeons in orthopedic trauma, orthopedics, and general trauma
  • Geriatricians and other medicine physicians (eg, internal medicine, anesthesiology)
  • Residents/trainees (surgical and medical)

Course impressions


The education taskforce has identified the following competencies for this area of practice:

  • Correctly fix fragility fractures as indicated
  • Adapt treatment in line with aging
  • Recognize comorbidities and polypharmacy
  • Prevent, identify, and treat complications
  • Address secondary prevention (osteoporosis, falls)
  • Restore function early
  • Apply the basic science of fixation and bone biology
  • Initiate and comanage patient care with the healthcare team
  • Build a system of care for fragility fractures
  • Seek to restore and preserve functionality, independence, and quality of life

What does competency-based curriculum development mean?

Learn more


Orthogers Mobile App

Discover this educational tool for health-care professionals managing older adults with fragility fractures.



Geriatric Orthopaedic Surgery & Rehabilitation Journal (GOS).


Osteoporotic Fracture Care—Medical and Surgical Management

Orthogeriatrics education taskforce

The Orthogeriatrics education taskforce is a group of experts who build and continuously improve our educational program. It consists of three international program editors (IPEs).

Joseph Nicholas (US)

Term: 2020–2025

Hitendra K Doshi (SG)

Term: 2021–2024

Carlos Maria Olarte Salazar (CO)

Term: 2022—2024

See a full list of all regional program contributors and past international program editors.

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Find our list of all curricula courses here