![]() 6 It has been shown that most patients who sustain a fracture and are more than 65 years old have weakened bone quality from osteoporosis or osteopenia, conditions that are largely untreated and silent until a fracture occurs, although osteoporosis is the most common disease of the bone. 6 Fractures occur throughout the year evenly with the exception of hip fractures that occur with a slightly higher likelihood in springtime. Hip fractures occur equally inside or outside the home, whereas other fragility fractures occur somewhat more commonly outside the home. ![]() 5 Falls have been shown to precede most fractures. 4įalls and fractures become much more prevalent with advancing age. It is expected that these 77 million Baby Boomers will become senior citizens by 2026 ( ) and cause the fastest growing segment of the population to be the group more than 85 years old. In the United States, the aging of the population is a result of improved life expectancy coupled with the aging of the Baby -Boom generation (born 1946-1964). As providers begin to gain a better understanding of the principles espoused in this article, it is our hope that they will be able to use this information to optimize the care they provide for elderly patients who are at risk of or who have osteoporotic fractures.įragility fractures represent an epidemic problem worldwide, as the population ages at a rate much greater than once predicted. The information contained in this article will prove invaluable to any health care provider or health system administrator who is involved in the prevention and management of fragility hip fractures. This manuscript thoroughly summarizes the latest research on fragility fractures and provides the reader with valuable strategies to optimize the prevention and management of these devastating injuries. However, the volume of published literature on this topic is staggering and far too voluminous for any clinician to review and synthesize by him or herself. Over the past 4 decades, much has been learned about the pathophysiology and treatment of osteoporosis, the prevention of fragility fractures, and the perioperative management of patients who have these debilitating injuries.
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