Treatment

Hip fracture care

Specialist bone health review after hip fracture, with a focus on osteoporosis assessment, secondary fracture prevention, medication planning and reducing future fracture risk.

A hip fracture is an important warning sign for future fracture risk. A specialist bone health review can help identify underlying osteoporosis and support long-term prevention.

Overview

Why bone health matters after a hip fracture

A hip fracture can be linked to underlying osteoporosis, reduced bone strength, falls risk and other medical factors. After the immediate orthopaedic care, a specialist bone health review can help reduce the risk of further fractures.

Understanding the cause

Professor Keen can review the circumstances of the fracture, previous fracture history, bone density, blood tests, medication and other risk factors that may have contributed.

Preventing further fractures

Hip fracture care includes looking beyond the fracture itself, with advice on osteoporosis treatment, vitamin D, calcium, falls risk, mobility and longer-term monitoring.

When it helps

When specialist review may be useful

A specialist bone health consultation may be useful after a hip fracture, particularly when osteoporosis treatment, medication choice or future prevention needs clearer planning.

Common reasons for referral

  • Hip fracture after a fall or low-impact injury
  • Previous fragility fracture elsewhere
  • Known osteoporosis or low bone density
  • Uncertainty about osteoporosis medication
  • Need for a second opinion after fracture

Risk factors to consider

  • Age-related bone loss
  • Falls, balance problems or reduced mobility
  • Vitamin D deficiency or calcium imbalance
  • Long-term steroid use or other medication risks
  • Other medical conditions affecting bone strength
Assessment process

What the consultation may include

The aim is to understand why the fracture occurred, assess the risk of future fractures and create a practical prevention plan.

1 Fracture review

The hip fracture, circumstances of injury, previous fractures and recovery progress are reviewed.

2 Bone health assessment

DEXA scan results, blood tests, medication history and wider osteoporosis risk factors are considered.

3 Risk reduction

Falls risk, vitamin D, calcium, mobility and other modifiable factors may be discussed.

4 Treatment plan

You receive advice on osteoporosis treatment, monitoring and longer-term fracture prevention.

Treatment planning

How future fracture risk may be reduced

Treatment after hip fracture is focused on reducing the risk of further fractures and supporting long-term bone strength, confidence and mobility.

Medical bone health support

  • Osteoporosis medication where appropriate
  • Advice on injections or infusions for higher risk cases
  • Vitamin D and calcium assessment
  • Review of blood tests and secondary causes
  • Monitoring with scans or follow-up where needed

Practical prevention support

  • Falls risk reduction and balance advice
  • Safe activity and strengthening guidance
  • Review of medications that may affect falls or bone health
  • Coordination with orthopaedic or rehabilitation teams where needed
  • Long-term plan to reduce future fracture risk
FAQs

Hip fracture care questions

Common questions about hip fracture, osteoporosis and specialist bone health review after fracture.

Does a hip fracture mean I have osteoporosis?

Not always, but a hip fracture after a fall or low-impact injury often raises concern about underlying bone fragility and should prompt a bone health review.

Why is treatment needed after a hip fracture?

After one fragility fracture, the risk of another fracture can be higher. Treatment aims to reduce future risk and address underlying bone weakness.

Should I have a DEXA scan after hip fracture?

A DEXA scan may be helpful, but treatment decisions also depend on fracture history, age, blood tests, medical background and wider risk factors.

Can future fractures be prevented?

Future fracture risk can often be reduced with a combination of osteoporosis treatment, vitamin D and calcium review, falls prevention and ongoing monitoring.

Appointments

Book a hip fracture bone health review

If you or a family member has had a hip fracture and would like specialist advice about osteoporosis, bone health or future fracture prevention, please contact the office.

Contact details

For private appointments and general enquiries, please contact Professor Keen's office.

Telephone 07432 028009
Clinics London, Bushey and Stanmore