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Bone Health Evaluations and Secondary Fragility Fractures in Hip Fracture Patients
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Type
Academic journal
Author
Pflug Emily M. (Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA) Lott Ariana (Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA) Konda Sanjit R. (Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA) Leucht Philipp (Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA)
Journal
The Korean Hip Society Hip and Pelvis Hip and Pelvis Vol.36 No.1 KCI Accredited Journals
Published
2024.3
Pages
55 - 61 (7page)
DOI
10.5371/hp.2024.36.1.55

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Bone Health Evaluations and Secondary Fragility Fractures in Hip Fracture Patients
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Purpose: This study sought to examine the utilization of bone health evaluations in geriatric hip fracture patients and identify risk factors for the development of future fragility fractures. Materials and Methods: A consecutive series of patients ≥55 years who underwent surgical management of a hip fracture between September 2015 and July 2019 were identified. Chart review was performed to evaluate post-injury follow-up, per formance of a bone health evaluation, and use of osteoporosis-related diagnostic and pharmacologic treatment. Results: A total of 832 patients were included. The mean age of the patients was 81.2±9.9 years. Approximately 21% of pa tients underwent a comprehensive bone health evaluation. Of this cohort, 64.7% were started on pharmacologic therapy, and 73 patients underwent bone mineral density testing. Following discharge from the hospital, 70.3% of the patients fol lowed-up on an outpatient basis with 95.7% seeing orthopedic surgery for post-fracture care. Overall, 102 patients (12.3%) sustained additional fragility fractures within two years, and 31 of these patients (3.7%) sustained a second hip fracture. There was no difference in the rate of second hip fractures or other additional fragility fractures based on the use of osteoporosis medications. Conclusion: Management of osteoporosis in geriatric hip fracture patients could be improved. Outpatient follow-up post-hip fracture is almost 70%, yet a minority of patients were started on osteoporosis medications and many sustained additional fragility fractures. The findings of this study indicate that orthopedic surgeons have an opportunity to lead the charge in treat ment of osteoporosis in the post-fracture setting.
#Femur #Hip fracture #Fragility fracture #Osteoporosis #Bone health

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