Greek fragility hip fracture registry 2025 annual report

Abstract

The Greek Fragility Hip Fracture Registry continued its expansion in 2025, its third year of operation, with five additional orthopaedic departments joining the initiative and increasing the number of active centres to thirteen. During the year, data from 2046 patients were recorded, raising the total number of cases in the registry to 4228. The mean patient age was approximately 83 years and the majority were female (71.2%). Most patients lived independently prior to injury and had preserved cognitive function. Intertrochanteric fractures were the most common fracture type (50.7%), followed by displaced intracapsular fractures (34.4%). Operative treatment was performed in most cases, predominantly using intramedullary nailing or hip hemiarthroplasty, although only 35.2% of patients underwent surgery within the recommended 48-hour from admission timeframe. The mean length of hospital stay in 2025 was 9.1 days, slightly reduced compared with the previous year, and in-hospital mortality was 3.2%. Most patients were mobilized on the first postoperative day and were discharged home, while approximately one quarter were transferred to rehabilitation facilities. However, documentation of secondary fracture prevention remained limited, with only 21.2% of patients discharged with recorded anti-osteoporotic treatment. Thirty-day mortality was 11.2%, showing improvement compared with 2024. Overall, the registry continues to provide important national data on fragility hip fracture care and highlights areas requiring further improvement, particularly timely surgery and secondary fracture prevention.