Contemporary Management of Osteoporotic Fractures

Abstract

With aging of the population, osteoporotic fractures are becoming an increasing medical problem world-wide. It has been estimated that 2,700,000 patients experienced a low energy fracture in the Polish population in 2010. On the basis of contemporary world standards and publications in the field of orthopaedics and trau-matic surgery, a summary of the principles of management of osteoporotic fractures is presented. Both general problems of fracture treatment in elderly patients as well as difficulties in surgical and conservative treatment resulting from osteoporotic bone abnormalities are discussed. Special attention is paid to preoperative and postoperative procedures in patients with proximal femur fractures. Also presented is a contemporary strategy for the treatment of fractures of the distal forearm, proximal humerus and vertebrae. General principles of diagnosis and treatment of osteoporosis are discussed.

Smart homes for the older population: particularly important during the COVID-19 outbreak

“…The biomechanical parameters of bone tissue change with age, reducing its strength and contributing to fractures and poor global sagittal alignment as a result [1]. According to a study by Czerwinski et al [3], the most common fractures are proximal femur fractures, including femoral neck and pertrochanteric fractures, distal forearm fractures, proximal humeral fractures, vertebral compression (mainly thoracic) frac-tures and lower rib fractures. In 2018, 120 thousand fractures reported in Poland were recognized as the effect of osteo porosis, including 34.7 thousand fractures of the proximal femur [2].…”

Common Osteoporotic Fractures in the Elderly – Male and Female

“…e average age of the patients is close to 80, and due to multiple co-morbidities, these patients have an extraordinarily high mortality rate, with one-year mortality rates reported between 20-25 percent, and as high as 36 percent in various studies. 8,9 In addition, these patients are at signi cant risk for disability. Even among patients who were community ambulant prior to their hip fracture, 11 percent become bedridden, 16 percent end up in a long-term care facility, and 80 percent requires the use of a walking aid one year after the hip fracture.…”