{"title":"What's new in the management of osteoporosis and prevention of fragility fractures?","authors":"Gillian Fordyce, Rosemary Hollick, Alison Black","doi":"10.1016/j.mporth.2024.01.006","DOIUrl":null,"url":null,"abstract":"<div><p>With an increasingly ageing population it has never been more important to reduce the burden of fragility fractures. Fragility fractures, especially those of spine and hip, affect an individual's morbidity and mortality and carry a significant economic burden. There has been a recent shift towards a more stratified approach to the management of fracture risk, using fracture assessment tools, in combination with assessment of bone mineral density using dual X-ray absorptiometry scanning. Primary and secondary fracture prevention will be outlined including the important role of fracture liaison services. The use of medications which reduce fracture risks are discussed including the use of zoledronate in the immediate post-hip fracture setting.</p></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"38 2","pages":"Pages 99-107"},"PeriodicalIF":0.0000,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopaedics and Trauma","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1877132724000162","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
With an increasingly ageing population it has never been more important to reduce the burden of fragility fractures. Fragility fractures, especially those of spine and hip, affect an individual's morbidity and mortality and carry a significant economic burden. There has been a recent shift towards a more stratified approach to the management of fracture risk, using fracture assessment tools, in combination with assessment of bone mineral density using dual X-ray absorptiometry scanning. Primary and secondary fracture prevention will be outlined including the important role of fracture liaison services. The use of medications which reduce fracture risks are discussed including the use of zoledronate in the immediate post-hip fracture setting.
随着人口老龄化的加剧，减少脆性骨折的负担变得前所未有的重要。脆性骨折，尤其是脊柱和髋部骨折，会影响个人的发病率和死亡率，并带来巨大的经济负担。近来，骨折风险的管理已转向更加分层的方法，即使用骨折评估工具，结合使用双 X 射线吸收扫描评估骨矿密度。将概述骨折的一级和二级预防，包括骨折联络服务的重要作用。还将讨论降低骨折风险的药物使用，包括唑来膦酸钠在髋部骨折后立即使用的情况。
期刊介绍：
Orthopaedics and Trauma presents a unique collection of International review articles summarizing the current state of knowledge and research in orthopaedics. Each issue focuses on a specific topic, discussed in depth in a mini-symposium; other articles cover the areas of basic science, medicine, children/adults, trauma, imaging and historical review. There is also an annotation, self-assessment questions and a second opinion section. In this way the entire postgraduate syllabus will be covered in a 4-year cycle.
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