How can you prevent falls and subsequent fractures?
Abstract Over the years, a number of strategies have been investigated to prevent falls in older people in a number of settings. Over 200 randomised controlled trials now exist, and…
Secondary prevention and estimation of fracture risk
Abstract The key questions addressed in this chapter are: • How can individual risk of fracture be best estimated? • What is the best system to prevent a further fracture?…
Prevention of incident fractures in patients with prevalent fragility fractures: Current and future approaches
Abstract Fragility fractures are a significant, independent risk factor for new fractures, but treatment uptake in subjects with prevalent fractures is disappointing. We addressed the question of the efficacy of…
Osteoporosis and fragility fractures: Vertebral fractures
Abstract The incidence of vertebral fragility fractures and deformity increase steeply with age. Every sixth woman and every twelfth man will sustain a symptomatic vertebral fracture. Vertebral fractures result in…
Maximising functional recovery following hip fracture in frail seniors
Abstract This review discusses factors affecting recovery following hip fracture in frail older people as well as interventions associated with improved functional recovery. Prefracture function, cognitive status, co-morbidities, depression, nutrition…
Principles of osteoporotic fracture treatment
Abstract The number of osteoporotic fractures is still increasing and the overall management of these multimorbid patients is demanding. Surgical management of these fractures is challenging due to often comminuted…
Other non-vertebral fractures
Abstract Non-vertebral non-hip (NVNH) fractures account for 90% of all fractures in patients up to 80 years of age and for 59% thereafter. There is a significant relationship between reductions…
Hip fracture as the tracer condition
Abstract Hip fractures represent the most severe complication of osteoporosis from the perspectives of the patient, carer, health care system and society. Given the strong association with age, numbers are…
Multi-disciplinary care of the patient with acute hip fracture: How to optimise the care for the elderly, traumatised patient at and around the time of the fracture to ensure the best short-term outcome as a foundation for the best long-term outcome
Abstract Of the 70,000 patients presenting in the UK each year with hip fracture, most are frail, elderly with multiple co-morbidities and polypharmacy. Falls are often attributed to slips or…
