Welcome to The New Zealand Fragility Fracture Registry
Driving excellence in the provision and equity of care for fragility fracture patients through benchmarking against Clinical Standards for Fracture Liaison Services (FLS)
Fragility fractures represent one of the most significant healthcare challenges facing New Zealand today, affecting thousands of people each year through minimal trauma injuries to the spine, wrist, shoulder, and other bones weakened by osteoporosis. To address this growing challenge, the Australian and New Zealand Fragility Fracture Registry (ANZFFR) has been established as a pioneering joint venture between both countries, utilising comprehensive data collection and quality improvement initiatives to transform fragility fracture care. While maintaining identical registry structures to enable meaningful international comparison, the New Zealand and Australian registries operate independently. Osteoporosis New Zealand (ONZ) and Accident Compensation Corporation (ACC) work in partnership to drive this vital initiative.
The Problem
Fragility fractures occur from minimal trauma in people with weakened bones. Thousands experience these life-altering injuries annually, with numbers projected to increase dramatically as populations age. The impact extends beyond the initial injury, causing prolonged disability, loss of independence, reduced quality of life, and increased mortality risk, representing a significant burden on both healthcare systems and patients.
Who We Are
The New Zealand Fragility Fracture Registry is a clinical quality registry that unites healthcare professionals—geriatricians, orthopaedic surgeons, nurses, and allied health professionals—alongside researchers and patient representatives. A bi-national Steering Committee provides governance while an Implementation and Management Committee delivers operational support.
Our Purpose
To drive excellence and equity in fragility fracture care through systematic data collection, analysis, and quality improvement. We benchmark care against Clinical Standards for Fracture Liaison Services, collect data from over 15,000 patients annually, and facilitate peer learning networks. Our goal is ensuring every fragility fracture patient receives high-quality, coordinated care with effective secondary prevention strategies.
Total patient records collected, helping to drive improvements in fragility fracture care.
Fracture Liaison Services across New Zealand are contributing data to the ANZFFR.
Fragility fracture patients across New Zealand included in the ANZFFR 2025 Annual Report.
2025 ANZFFR Annual Report
We are delighted to share the second Australian and New Zealand Fragility Fracture Registry Annual Report. This comprehensive report contains data for over 15,000 people recruited to the Registry in New Zealand between 1st July 2023 and 30th June 2024, with 16-week follow-up of participants to 31st October 2024. For the first time, we are also reporting on 52-week follow-ups of people recruited the year before.
Registry Milestone: First Records Captured
On March 28 2022, in a significant milestone for healthcare innovation and patient care, we celebrated the successful capture of the first records in the Fragility Fracture Registry. This pivotal moment marked the beginning of a new chapter in our quest to revolutionise the management and treatment of fragility fractures.
The achievement represents years of planning, collaboration between healthcare professionals, and the commitment of participating hospitals across New Zealand.
Patient Stories
