Tramadol not only increases the risk of falling, but also causes more hip fractures than other painkillers. This is the result of a study published in the Journal of Bone and Mineral Research. According to the study, the risk of hip fractures in the tramadol group is 28% higher than with codeine and even 65% higher than with ibuprofen.

https://www.lemoniteurdespharmacies.fr/revues/le-moniteur-des-pharmacies/article/n-3309/le-tramadol-augmente-le-risque-de-fracture-de-la-hanche.html