Navigation Links
Treating Osteoporosis After Hip Fracture

Orthopaedic osteoporosis management is a crucial element in hip fracture recovery

ROSEMONT, Ill., Nov. 3 /PRNewswire-USNewswire/ -- Most patients who suffer a hip fracture are referred to their primary care physicians for osteoporosis follow-up care. However, according to a study published in the November 2008 issue of The Journal of Bone and Joint Surgery ( ), an osteoporosis management program initiated by an orthopaedic surgeon can result in much better care for hip fracture patients.

Osteoporosis ( )is a disease of progressive bone loss affecting 28 million Americans. The disease often develops unnoticed for many years, with no symptoms or discomfort until a fracture occurs because of the decreased bone density.

Osteoporosis is associated with fractures, and contributes to an estimated 1.5 million bone fractures each year. One in two women and one in five men older than 65, will sustain fractures caused by osteoporosis. Many of these are painful fractures of the hip, spine, wrist, arm, and leg, which often occur as a result of a fall.

The most serious and debilitating osteoporotic fractures are of the hip. Most patients who experience a hip fracture and previously lived independently will require some type of home care after the injury. All patients who experience a hip fracture will require walking aids for several months, and nearly half will permanently need canes or walkers.

Although osteoporosis is strongly associated with hip fractures, osteoporosis treatment following hip fractures occurs just 5 to 30 percent of the time.

"This low rate is the result of a few different factors," says Roberto Augusto Miki, M.D., assistant professor of clinical orthopaedics at University of Miami Jackson Memorial Hospital. "Most of these patients are older, and therefore may have a number of other health concerns. Their primary care physician is looking at the heart, lungs, and other more critical issues. Also, a lot of primary care physicians aren't that comfortable prescribing the specialized osteoporosis medications."

"In addition, orthopaedic surgeons frequently aren't prepared to take responsibility for osteoporosis management," Miki adds. "It's not a surgical issue -- it's chronic disease management, and their practices aren't set up for that type of care."

In the study, researchers randomly selected 31 hip fracture patients to receive follow-up care at a specialized orthopaedic osteoporosis clinic and 31 to receive the usual type of treatment from their primary care physician. Six months following the initial hip fracture:

-- 58 percent of patients in the orthopaedic clinic were still taking an

osteoporosis medication.

-- 29 percent of the patients in the primary care group were taking an

osteoporosis medication.

In addition:

-- 26 patients in the orthopedic group had undergone a bone mineral density

test compared with 7 patients in the primary care group

Researchers initially planned to continue the study until they had enrolled 120 patients, but the early findings were so conclusive that the study was discontinued.

"Hospitals need systems and processes in place so that orthopaedic surgeons can refer osteoporosis patients to a specialist who can oversee disease management," Miki said.

JBJS ( )

AAOS ( )

More information on Osteoporosis

( )

Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.

SOURCE American Academy of Orthopaedic Surgeons
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. HPV vaccine does not appear to be effective for treating pre-existing HPV infection
2. Is 4 agents decoction (Si Wu Tang) efficacious in treating primary dysmenorrhea?
3. Treating diabetes during pregnancy can break link to childhood obesity
4. Jefferson specialists studying innovative surgery for effectively treating sleep apnea
5. Treating Diabetes During Pregnancy Could Lead to Thinner Kids
6. Family-based treatment more effective than supportive psychotherapy in treating bulimia
7. Treating depression may improve recovery of heart rate variability following coronary syndromes
8. Antidepressant shows early promise in treating agitation and psychotic symptoms of dementia
9. Hospitals Improve Survival Rates While Treating Sicker Patients Thomson Healthcare Study Shows
10. Stem cells show promise for treating Huntingtons disease
11. Treating obstructive sleep apnea, preventing heart attacks and strokes
Post Your Comments:
(Date:11/25/2015)... , ... November 25, 2015 , ... Many people know ... fuzzy-headedness, weight gain, cold hands, and dry skin. But many people who find their ... and exercise regimen instead of their thyroid, especially if they don’t have any of ...
(Date:11/25/2015)... ... November 25, 2015 , ... Since ... providing comprehensive solutions involving adult stem cell therapies to patients with chronic degenerative ... “Regenestem” name as a Registered Trademark (RTM). , Organizations are required to hold ...
(Date:11/25/2015)... ... 25, 2015 , ... Bunion Bootie , the newest ... of the early holiday shopping season. Starting Wednesday November 25th, Bunion Booties are ... Friday promotional pricing is in addition to any automatic discounts applied when buying ...
(Date:11/24/2015)... PA (PRWEB) , ... November 24, 2015 , ... ... now certified to offer their patients the many benefits of the revolutionary BIOLASE ... the sharp cutting and scraping tools traditionally used by a dentist in ...
(Date:11/24/2015)... ... ... New patients who wish to seek treatment for missing teeth can now ... Mississauga, ON practice. Dr. Williams has been providing dental service for over 34 years, ... teeth can lead to a variety of complications if they are not replaced quickly, ...
Breaking Medicine News(10 mins):
(Date:11/24/2015)... , November 24, 2015 Sectra ... Acadiana has entered into a multi-year agreement to ... centers. This investment will provide the Breast Center a ... Sectra (STO: SECT B) announces that Breast ... agreement to deploy Breast Imaging PACS in its two ...
(Date:11/24/2015)... 2015   HeartWare International, Inc . (NASDAQ: ... support technologies that are revolutionizing the treatment of advanced ... Officer Doug Godshall is scheduled to present ... Conference on December 1, 2015 at 3:00 p.m. ET.  ... New York . ...
(Date:11/24/2015)... and BERN, Switzerland , ... the ARTORG Center for Biomedical Engineering Research of the ... the Division of Endocrinology, Diabetes and Clinical Nutrition of ... the start of an exclusive collaboration to develop a ... algorithm for the personalised delivery of insulin for diabetic ...
Breaking Medicine Technology: