The orthopaedic treatment of fragility fractures

Clin Cases Miner Bone Metab. 2007 May;4(2):108-16.

Abstract

The purpose of this review is the presentation of the proper orthopaedic treatment of the most frequent fragility fractures associated with low bone mineral density or established osteoporosis. In this particular group of patients, the surgical treatment is difficult for the poor quality of the broken bone that limits the reduction, the hardware fixation and the physiologic process of bone healing. Other important problems are the postoperative management of old patients with chronic diseases and more prone to develop local and general complications with big difficulties to conduct a good rehabilitation program.Some considerations will be made, lastly, about the role of the orthopaedic surgeon on the treatment of osteoporosis and on the possibility to prevent further fractures.