Recurrent Hip Fracture Prevention With Osteoporosis Management

Background:Osteoporosis is a major public health threat,and hip fracture is a serious consequence of osteoporosis.Apatient with an osteoporosis-related hip fracture has an increased risk for a second hip fracture.The effect of osteoporosis management on the risk of recurrent hip fracture was evaluat...

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Main Authors: A. Shahla, S. Charesaz
Format: Article
Language:English
Published: Iran University of Medical Sciences 2007-02-01
Series:Medical Journal of The Islamic Republic of Iran
Subjects:
Online Access:http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-233&slc_lang=en&sid=1
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author A. Shahla
S. Charesaz
author_facet A. Shahla
S. Charesaz
author_sort A. Shahla
collection DOAJ
description Background:Osteoporosis is a major public health threat,and hip fracture is a serious consequence of osteoporosis.Apatient with an osteoporosis-related hip fracture has an increased risk for a second hip fracture.The effect of osteoporosis management on the risk of recurrent hip fracture was evaluated in this study.Methods:58 hip fracture patients older than 50yr and BMD < 2.5 were discharged from hospital with Ca-Vitamin D- Alendronate prescriptions, and followed up for 4 years to determine the rate of recurrent hip fractures. Rate of second hip fractures was compared with 58 hip fractures in the control group (without osteoporosis treatment) which were also followed for 4 years. Results:72% of patients continued treatment for 2 years. There were no second hip fractures in the critical first 12 months in the treated group.Overall second hip fractures in osteoporosis treated and control groups were 3.4% and 8.6%(p<0.03), respectively.Conclusion:Management of hip fractures in the elderly should include bone mineral density determination and osteoporosis treatment to prevent further fractures.
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spelling doaj.art-42de0790dd68471f8e1f47f61cf07ba52022-12-21T18:48:52ZengIran University of Medical SciencesMedical Journal of The Islamic Republic of Iran1016-14302251-68402007-02-01204181183Recurrent Hip Fracture Prevention With Osteoporosis ManagementA. ShahlaS. CharesazBackground:Osteoporosis is a major public health threat,and hip fracture is a serious consequence of osteoporosis.Apatient with an osteoporosis-related hip fracture has an increased risk for a second hip fracture.The effect of osteoporosis management on the risk of recurrent hip fracture was evaluated in this study.Methods:58 hip fracture patients older than 50yr and BMD < 2.5 were discharged from hospital with Ca-Vitamin D- Alendronate prescriptions, and followed up for 4 years to determine the rate of recurrent hip fractures. Rate of second hip fractures was compared with 58 hip fractures in the control group (without osteoporosis treatment) which were also followed for 4 years. Results:72% of patients continued treatment for 2 years. There were no second hip fractures in the critical first 12 months in the treated group.Overall second hip fractures in osteoporosis treated and control groups were 3.4% and 8.6%(p<0.03), respectively.Conclusion:Management of hip fractures in the elderly should include bone mineral density determination and osteoporosis treatment to prevent further fractures.http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-233&slc_lang=en&sid=1Second hip FractureOsteoporosis ManagementPrevention
spellingShingle A. Shahla
S. Charesaz
Recurrent Hip Fracture Prevention With Osteoporosis Management
Medical Journal of The Islamic Republic of Iran
Second hip Fracture
Osteoporosis Management
Prevention
title Recurrent Hip Fracture Prevention With Osteoporosis Management
title_full Recurrent Hip Fracture Prevention With Osteoporosis Management
title_fullStr Recurrent Hip Fracture Prevention With Osteoporosis Management
title_full_unstemmed Recurrent Hip Fracture Prevention With Osteoporosis Management
title_short Recurrent Hip Fracture Prevention With Osteoporosis Management
title_sort recurrent hip fracture prevention with osteoporosis management
topic Second hip Fracture
Osteoporosis Management
Prevention
url http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-233&slc_lang=en&sid=1
work_keys_str_mv AT ashahla recurrenthipfracturepreventionwithosteoporosismanagement
AT scharesaz recurrenthipfracturepreventionwithosteoporosismanagement