Poor adherence to parenteral osteoporosis therapies during COVID-19 pandemic
(Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 26, 2021 Category: Orthopaedics Source Type: research

FRAX score with and without bone mineral density: a comparison and factors affecting the discordance in osteoporosis treatment in Thais
ConclusionFRAX scores with and without BMD yielded concordant predictions regarding the 10-year probability of hip fracture suggesting pharmacological treatment. However, this concordance declined in elderly and osteoporotic participants and in those with FRAX without BMD around intervention threshold. BMD data may be required in these populations in order to facilitate accurate risk assessment. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 26, 2021 Category: Orthopaedics Source Type: research

A long-term trajectory of bone mineral density in childhood cancer survivors after discontinuation of treatment: retrospective cohort study
ConclusionThese data based on serial DXA measurements, encompassing a long-lasting observation period, show that CCS may not be at risk of premature bone loss in young adulthood. However, it is unknown how the scenario for skeletal mass is until the CCS will achieve older or postmenopausal age. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 26, 2021 Category: Orthopaedics Source Type: research

Oxidative balance score and risk of osteoporosis among postmenopausal Iranian women
ConclusionFindings suggest that a predominance of anti- over pro-oxidant exposures, as indicated by a higher OBS, is associated with lower risk of lumbar spine osteoporosis among postmenopausal Iranian women. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 25, 2021 Category: Orthopaedics Source Type: research

The serum 25(OH)D level and hand grip strength for fall risk assessment among osteoporotic elderly Japanese women
ConclusionBoth low serum 25(OH)D level and low grip strength were independently associated with increased fall risk score in osteoporotic elderly women. The appropriate serum 25(OH)D cutoff specific to the increased fall risk group in this population was 14 mg/dL (35 nmol/L). These findings might be used for the identification of patients with high fall risks. These results should be confirmed in other patient groups. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 24, 2021 Category: Orthopaedics Source Type: research

Long-term trabecular bone score and bone mineral density changes in Chinese antiretroviral-treated HIV-infected individuals
ConclusionThis is the first study among PWH to evaluate the long-term impact of ART on TBS and BMD. At baseline, approximately 20% of patients had a normal BMD but impaired bone microstructure based upon TBS. For patients with 5 years of exposure to ART, there is a stabilization of TBS and BMD after initial nadir in the first 144 weeks. However, FN BMD, TH BMD, and TBS remained low at 5 years relative to baseline. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 24, 2021 Category: Orthopaedics Source Type: research

Opportunistic use of dual-energy X-ray absorptiometry to evaluate lumbar scoliosis
ConclusionsLumbar spine rotation does not significantly affect BMD and BMC within 15 ° and 10° of axial and sagittal plane rotation, respectively, and minimally affects Cobb angle measurement. Spine alignment in the coronal plane can be reliably assessed using lumbar PA DXA images. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 23, 2021 Category: Orthopaedics Source Type: research

Hip fractures in Spain: are we on the right track? Statistically significant differences in hip fracture management between Autonomous Communities in Spain
AbstractSummaryAlthough medicine is currently protocol-based, there are still differences in the management of the hip fracture in Spain, especially regarding surgical delay, type of anesthesia, early mobilization, and discharge destinations. This data will be of great value to assist stakeholders in formulating health policies.PurposeAnalysis of demographic, clinical, surgical, and functional data of the Spanish National Hip Fracture National Registry (RNFC), during admission and at 1-month follow-up, by Autonomous Communities (ACs).MethodsCross-sectional analysis in the framework of a RNFC cohort, from January 2017 to Ma...
Source: Archives of Orthopaedic and Trauma Surgery - February 23, 2021 Category: Orthopaedics Source Type: research

Effects of denosumab on rheumatic diseases and refractory glucocorticoid-induced osteoporosis: a prospective study
ConclusionsIn conclusion, denosumab is a potential treatment for GIOP in rheumatic diseases, especially in patients refractory to previous therapy, including bisphosphonate therapy. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 23, 2021 Category: Orthopaedics Source Type: research

Change in vertebral strength and bone mineral density in men and women over the year post-hip fracture: a subgroup analysis
This study examines changes in bone density and strength in the spine over the year after hip fracture to see if there are differences in the changes between men and women. Results show losses in the spine that may increase the risk of subsequent vertebral fractures, particularly for women.PurposeCompare changes over the first year post-hip fracture in vertebral bone mineral density (BMD) and compressive strength, measured from quantitative computed tomography (QCT) scans of the spine (T12-L1), between women and men.MethodsQCT scans were performed on 37 participants (21 men and 16 women) at 2 and 12 months post-hip fractur...
Source: Archives of Orthopaedic and Trauma Surgery - February 22, 2021 Category: Orthopaedics Source Type: research

Malleolar fracture in pregnancy and lactation-associated osteoporosis: a case report and literature review
ConclusionOrthopedic doctors should not ignore the possibility of PLO to avoid misdiagnosis of perinatal women with fractures. Improvement of functional recovery of fractures can be achieved with accurate diagnosis and individual treatment. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 21, 2021 Category: Orthopaedics Source Type: research

Predictors of hip fracture mortality in Ghana: a single-center prospective study
ConclusionBeing male, having basicervical hip fracture, abnormal/low creatinine, and a history of COPD and osteoporosis were the main predictors of mortality in the study population. These findings could serve as a guide when managing patients with proximal femur fractures to improve the outcome. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 20, 2021 Category: Orthopaedics Source Type: research

A surrogate FRAX model for Pakistan
ConclusionThe surrogate FRAX model for Pakistan provides an opportunity to determine fracture probability within the Pakistan population and help guide decisions about treatment. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 17, 2021 Category: Orthopaedics Source Type: research

Five-year fracture risk assessment in postmenopausal women, using both the POL-RISK calculator and the Garvan nomogram: the Silesia Osteo Active Study
AbstractSummaryThe study project was designed to assess the concordance of clinical results in the assessment of 5-year fracture risk of any fracture, carried out by two methods: the Garvan algorithm and the POL-RISK model. The study group included 389 postmenopausal women of Caucasian race. The concordance of results, obtained by those two models, turned out to be moderate, and the threshold for high fracture risk group was 11% in the POL-RISK model.PurposeThe goal of the study was to evaluate the concordance of results in fracture risk assessments between the Garvan Fracture Risk Calculator and POL-RISK, a new Polish alg...
Source: Archives of Orthopaedic and Trauma Surgery - February 16, 2021 Category: Orthopaedics Source Type: research

Does the relationship between 25-hydroxyvitamin D status and bone mass vary according to skin color in adults? Results of a Brazilian population-based study
ConclusionDeficient vitamin D status is associated with lower bone mass in adults with differences observed according to gender, but not according to skin color. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 16, 2021 Category: Orthopaedics Source Type: research

Cortical bone thickness predicts the quantitative bone mineral density of the proximal humerus
AbstractSummaryCortical thickness determined at the humerus can serve as an easy and reliable screening tool to predict the local bone status when quantitative bone mineral density (BMD) measurements are not available. It can therefore serve as a rapid screening tool in fragility fractures to identify patients requiring further diagnostic or osteoporosis treatment.IntroductionQuantitative bone mineral density (BMD) of the humerus is difficult to determine but relevant for osteoporosis and fracture treatment. Dual-energy X-ray absorptiometry (DXA) of the femur and lumbar spine overestimates the humeral BMD and is not ubiqui...
Source: Archives of Orthopaedic and Trauma Surgery - February 16, 2021 Category: Orthopaedics Source Type: research

Hip fractures among the elderly in Kyoto, Japan: a 10-year study
ConclusionIn Kyoto Prefecture, the number of hip fractures increased in the second half of the study period (2013 –2017) compared to the first half (2008–2012). However, the incidence rate had not increased, except in femoral neck fractures in men aged ≥75 and women aged ≥85. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 12, 2021 Category: Orthopaedics Source Type: research

Multivitamins and risk of fragility hip fracture: a systematic review and meta-analysis
ConclusionCombined multivitamins are amongst the most widely used supplements and are often preferred over single vitamins. Our meta-analysis indicates that multivitamin use is significantly protective against osteoporotic hip fracture. In the future, randomized controlled trials should be performed to establish multivitamins as effective preventative measures for this injury. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 11, 2021 Category: Orthopaedics Source Type: research

Quality appraisal of educational websites about osteoporosis and bone health
ConclusionsWebsites with information about bone health and osteoporosis commonly present information about initial treatment choices, but most fail to address risk-benefit issues, and common barriers than can occur throughout the course of the disease. In addition, many websites did not update their content, did not cite their sources of information, or were written at a 9-grade level or above (rendering them unsuitable for low-literacy populations). (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 10, 2021 Category: Orthopaedics Source Type: research

Delivering fracture prevention services to rural US veterans through telemedicine: a process evaluation
ConclusionThe BHT is a feasible population telehealth model for delivering preventative osteoporosis care to rural Veterans. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 10, 2021 Category: Orthopaedics Source Type: research

Predictors of circulating vitamin D levels in healthy mid-life Singaporean women
AbstractSummaryVitamin D levels were lowest in Indian and Malay compared to Chinese women, and in younger and employed women. The main reason for hypovitaminosis D in study women was deficient cutaneous production. Supplementation in regions with abundant sunshine should consider ethnicity and opportunities for exposure to sunlight.IntroductionLittle is known about variations in circulating vitamin D levels in multiethnic mid-life women living in communities with year-round sunlight. Our study describes the circulating vitamin D levels and their sociodemographic predictors in mid-life Singaporean women.MethodsProspective c...
Source: Archives of Orthopaedic and Trauma Surgery - February 9, 2021 Category: Orthopaedics Source Type: research

Clinical characteristics and outcomes of patients presenting with hip fractures at a tertiary care hospital in Pakistan
ConclusionThis study reveals that patients admitted with minimal impact hip fractures in Pakistan are rarely evaluated for low BMD and not started on osteoporosis medications even after presenting with a typical osteoporosis-related fracture. This underscores the need for health provider education about osteoporosis as a major cause for hip fractures and the need to intervene for future fracture risk reduction. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 8, 2021 Category: Orthopaedics Source Type: research

Epidemiology of hip fracture in Botswana
ConclusionThe hip fracture rates can be used for healthcare planning. Additionally, these data can be used to create a FRAX model to help guide decisions about treatment. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 7, 2021 Category: Orthopaedics Source Type: research

Challenges and opportunities for quality densitometry in Latin America
AbstractLatin America and the Caribbean region account for 8% of the world ’s total population. Experts from 18 countries were invited to contribute to this article to provide the best available data on the number, types, and quality of densitometry, DXA experts, the local/national incidence and prevalence of osteoporosis and fragility fractures, and other uses and infor mation on the challenges and opportunities for quality densitometry with examples of local initiatives. Osteoporosis is the primary reason for densitometry in our region, which is not a priority for public health in most countries. Access and quality...
Source: Archives of Orthopaedic and Trauma Surgery - February 2, 2021 Category: Orthopaedics Source Type: research

Association between blood cadmium levels and the risk of osteopenia and osteoporosis in Korean post-menopausal women
AbstractSummaryWe aimed to investigate the association between cadmium levels and the risk of osteopenia and osteoporosis in Korean post-menopausal women. There was a significant positive association between cadmium levels and the risk of osteopenia and osteoporosis, but further studies for dose response are required.PurposeCadmium exposure can exert detrimental effects on bone health, particularly in post-menopausal women. However, previous studies have failed to report an association in Korean post-menopausal women. We aimed to investigate the association between cadmium levels and the risk of osteopenia and osteoporosis...
Source: Archives of Orthopaedic and Trauma Surgery - February 2, 2021 Category: Orthopaedics Source Type: research

Extent of and reasons for osteoporosis medication non-adherence among veterans and feasibility of a pilot text message reminder intervention
AbstractSummaryWe determined the extent of and reasons for non-adherence to oral bisphosphonates among veterans and conducted a pilot text message reminder application aimed at the most commonly cited reason for non-adherence. The intervention was found to be acceptable and feasible.PurposeTo evaluate the extent of and reasons for non-adherence to oral bisphosphonates among veterans and to assess the acceptability and feasibility of a pilot text message reminder application.MethodsWe surveyed 105 veterans initiating oral bisphosphonates for osteoporosis/osteopenia within the prior 18 months utilizing a validated self-repor...
Source: Archives of Orthopaedic and Trauma Surgery - February 2, 2021 Category: Orthopaedics Source Type: research

Relationship between number of radiological risk factors for delayed union after osteoporotic vertebral fracture and clinical outcomes
ConclusionNumber of radiological risk factors added prognostic information for delayed union, kyphotic deformity, and prolonged pain. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - February 1, 2021 Category: Orthopaedics Source Type: research

Correction to: Effect of increased serum 25(OH)D and calcium on structure and function of post-menopausal women: a pilot study
A Correction to this paper has been published:https://doi.org/10.1007/s11657-020-00875-5 (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 28, 2021 Category: Orthopaedics Source Type: research

Joint position statement on management of patient with osteoporosis during COVID-19 contingency from the AMMOM, CONAMEGER, FELAEN, FEMECOG, FEMECOT, and ICAAFYD
ConclusionThese guidance statements are provided to promote optimal care to patients at risk for osteoporosis and fracture, during the current COVID-19 pandemic. However, given the low level of available evidence and the rapidly evolving literature, this guidance is presented as a “living document” and future updates are anticipated. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 25, 2021 Category: Orthopaedics Source Type: research

Bone mineral density in healthy adult Indian population: the C handigarh U rban B one E pidemiological S tudy (CUBES)
ConclusionWe have established a reference database for BMD in healthy Indian adult population, which may have clinical implications for the diagnosis and intervention strategies for the management of osteoporosis. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 21, 2021 Category: Orthopaedics Source Type: research

Prevalence of osteoporosis among the elderly population of Iran
ConclusionResults support the high prevalence of osteoporosis and osteopenia in the elderly population. Considering the importance of severe complications, especially fractures, comprehensive interventions should be expanded. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 21, 2021 Category: Orthopaedics Source Type: research

Hip fracture and mortality: study of specific causes of death and risk factors
ConclusionsPneumonia and circulatory system diseases were the commonest causes of death in our study. In patients with hip fractures, emphasis should be placed on preventing functional decline and pneumonia. In a few patients, death was directly related to the hip fracture, although decompensation of chronic illness as a result of hip fracture and fracture-related functional decline may have been indirect causes. Patients with worse conditions at admission had the highest risk of mortality. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 16, 2021 Category: Orthopaedics Source Type: research

Association of calcium intake, lactose intolerance and physical activity with bone health assessed via quantitative ultrasound among young adults of a Malaysian university
ConclusionsMalaysian young adults showed a high prevalence of lactose intolerance. Calcium intake is associated with increased bone health status. In contrast, lactose intolerance and physical activity level did not directly influence bone health status. Nutrition education promoting adequate calcium intake should be implemented among young adults due to high lactose intolerance prevalence and low calcium intake among subjects. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 15, 2021 Category: Orthopaedics Source Type: research

The quantitative ultrasound method for assessing low bone mass in women with anorexia nervosa
This study investigated the potential role of quantitative ultrasound (QUS) to assess low bone mass in anorexia nervosa patients (AN). Bone parameters from QUS and DXA were positively correlated and significantly reduced in AN compared with controls, suggesting that QUS is a pertinent technique to assess low bone mass in these patients.PurposeThe aim of this study was to investigate the potential role of an alternative technique, quantitative ultrasound (QUS), to assess low bone mass in patients with anorexia nervosa (AN).MethodsTwo hundred seven young women (134 patients with AN and 73 healthy controls) with ages ranging ...
Source: Archives of Orthopaedic and Trauma Surgery - January 14, 2021 Category: Orthopaedics Source Type: research

A 2-year longitudinal study of bone health in adolescent patients with axial spondyloarthritis
ConclusionIn adolescent axSpA patients, bone health was associated with systemic inflammation and the severity of structural damage. Reduced systemic inflammation was associated with improvements in bone health. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 8, 2021 Category: Orthopaedics Source Type: research

Osteoporosis care during the COVID-19 pandemic in the Netherlands: A national survey
ConclusionDuring the COVID-19 pandemic, osteoporosis care almost completely arrested, especially because of the discontinuation of DXA-scanning and closing of outpatient clinics. More than half of the respondents reported a substantial lower quality of osteoporosis care during the COVID pandemic. To prevent an increase in fracture rates and a decrease in patient motivation, adherence and satisfaction, standardization of osteoporosis care delivery in situations of crisis is needed. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 7, 2021 Category: Orthopaedics Source Type: research

Age- and sex-specific concentrations of bone remodeling markers in healthy Indian adults with and without vitamin D deficiency
ConclusionsThe present study has allowed us to generate data on serum concentrations of PINP/CTX in a diverse group of healthy community-dwelling Indian adults with varying serum  vitamin D levels. It might aid in monitoring response to anti-osteoporotic therapy amongst native Indians. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 7, 2021 Category: Orthopaedics Source Type: research

Racial differences and factors associated with low femoral neck bone mineral density: an analysis of NHANES 2005 –2014 data
ConclusionsPrevalence of low BMD among three race/ethnic groups in the USA is determined, with race/ethnic disparities in several risk factors associated with low BMD identified. By contrast, advanced age, female gender, and fracture history are associated with increased odds of low BMD across all race/ethnic groups. The association between sleep duration and low BMD is modified by age and sex. Together, these findings may help clinicians and healthcare providers formulate better care for individual ’s bone health. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 6, 2021 Category: Orthopaedics Source Type: research

Osteoporosis treatment rate following hip fracture in a community hospital
ConclusionThe OGT was able to initiate anti-osteoporosis therapy in significantly more patients in comparison to usual care, and higher treatment rates are possible with an OGT. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 6, 2021 Category: Orthopaedics Source Type: research

Factors associated with delayed surgery in elderly hip fractures in India
ConclusionOnly about one-third of the patients received surgery within 48 hours of reaching the hospital, and about 20% of the patients presented to hospital after 24 hours of injury. Delayed surgery was primarily due to medical comorbidities. Hospitals should establish protocols to ensure faster optimization of patients. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 6, 2021 Category: Orthopaedics Source Type: research

Natural language processing of radiology reports for the identification of patients with fracture
ConclusionXRAIT identifies significantly more clinically significant fractures than manual case finding. High specificity in an untrained cohort suggests that it could be used at other sites. Automated methods of fracture identification may assist fracture liaison services so that limited resources can be spent on treatment rather than case finding. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 6, 2021 Category: Orthopaedics Source Type: research

Comparison of the NOF and NOGG guidelines for spinal radiographic examination in postmenopausal Chinese women
ConclusionsThe NOF guidelines were better than the NOGG guidelines for spinal radiography examination in the Chinese postmenopausal women. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 5, 2021 Category: Orthopaedics Source Type: research

Correlation of oxidative stress-related biomarkers with postmenopausal osteoporosis: a systematic review and meta-analysis
ConclusionMonitoring of certain OS-related biomarkers might be beneficial to the diagnosis and prognosis of PO. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 5, 2021 Category: Orthopaedics Source Type: research

Establishment and verification of an osteoporosis risk model in patients with rheumatoid arthritis: a valuable new model
ConclusionA newly generated predictive model has been suggested to have good differentiation, calibration, and clinical validity and may be a useful clinical model for predicting osteoporosis in patients with rheumatoid arthritis. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 4, 2021 Category: Orthopaedics Source Type: research

Impact of paravertebral muscle in thoracolumbar and lower lumbar regions on outcomes following osteoporotic vertebral fracture: a multicenter cohort study
ConclusionThe occurrence of additional OVF in the thoracolumbar region and remaining LBP in the lumbar region was significantly related to the FI% of the PVM. Physicians should be aware that patients with such fatty degeneration shown in acute MRI may require stronger treatment. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 3, 2021 Category: Orthopaedics Source Type: research

Osteoporosis knowledge, attitudes, and practices among female Princess Nourah University students in Riyadh, Saudi Arabia
ConclusionOsteoporosis misconceptions were extremely prevalent among PNU students, as was poor knowledge and lifestyle habits regarding osteoporosis. Information regarding osteoporosis presented through the media needs to be revised and simplified. Concerned institutions should combine their efforts eventually practice. Information about osteoporosis presented through media need to be revised, simplified, and implement a national program to improve osteoporosis awareness and prevention. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - January 2, 2021 Category: Orthopaedics Source Type: research

Hand grip strength and early mortality after hip fracture
The objective of this study was to deter mine the mortality among patients with hip fracture and lower hand grip strength (HGS).Material and methodsWe conducted a cohort and longitudinal study at Hip and Pelvic Surgery Department of a tertiary hospital, in Monterrey, Mexico. The study included patients aged over of 69, admitted for hip fracture surgery from February 1st 2013 to July 31st 2014. HGS measurement was performed by a trained physician at arrival to emergency department prior to surgery; clinimetric variables were asked, and a complete medical history was included.ResultsA total of 670 patients were included...
Source: Archives of Orthopaedic and Trauma Surgery - November 21, 2020 Category: Orthopaedics Source Type: research

Treatment of high fracture risk patients in routine clinical practice
ConclusionTherapy of patients at high risk of fractures started with more potent treatment regimens (zoledronic acid, denosumab and/or teriparatide) of adequate duration was more effective in terms of prevention of new vertebral and hip fractures as compared with other treatment options. However, treatment appears to be challenging given the number of recurrent fractures in patients on treatment and the frequency of drug withdrawal or replacement. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - November 20, 2020 Category: Orthopaedics Source Type: research

Osteoporotic hip fracture mortality and associated factors in Hawai ’i
The objective of this study was to evaluate mortality and factors associated with mortality of osteoporotic hip fracture patients at community hospitals within a large healthcare system in Hawai ’i.MethodsA retrospective chart review was conducted of 428 patients, ≥ 50 years, and hospitalized for a osteoporotic hip fracture from January 2015 to May 2016 within a large healthcare system in Hawai’i. Patient demographics, comorbidities, and treatment were collected from retrospective chart review. We determined the date of death by review of medical record s and online public obituary records. We calc...
Source: Archives of Orthopaedic and Trauma Surgery - November 16, 2020 Category: Orthopaedics Source Type: research

Plain vitamin D or active vitamin D in the treatment of osteoporosis: where do we stand today?
AbstractOsteoporosis is a major cause of morbidity and mortality worldwide and its prevention in order to avert fractures was considered of great importance in maintaining well-being and independence among the elderly. Strategies for osteoporosis prevention are well delineated, but research shows that the treatment options offered today could still be improved. The role of plain vitamin D (cholecalciferol) in bone health and the prevention of osteoporosis are well documented; however, as a treatment for osteoporosis, either with or without calcium, it has been shown to be ineffective. This is due in part to the strong nega...
Source: Archives of Orthopaedic and Trauma Surgery - November 14, 2020 Category: Orthopaedics Source Type: research