Bender Jay S, Meinberg Eric G
SFGH/UCSF Orthopaedic Trauma Institute, Department of Orthopaedic Surgery, University of California, San Francisco, 2550 23rd Street, Building 9, 2nd Floor, San Francisco, CA, 94110, USA.
Curr Osteoporos Rep. 2015 Feb;13(1):30-4. doi: 10.1007/s11914-014-0251-y.
Fragility fractures are occurring at an ever-increasing rate, creating an enormous economic and societal impact. Outpatient-based fragility fracture programs have been developed to identify at-risk patients, initiate effective treatment of metabolic bone disease, and improve coordination between members of the patient's care team with the goal of reducing future fractures. Inpatient programs focus on effective, efficient management of patients presenting with acute fractures. Both have proven successful in reducing the impact of fragility fractures, but many challenges exist. The orthopedic surgeon, as part of an integrated team of providers, is integral in identifying at-risk patients, ensuring appropriate care of acute fractures, and initiating treatment protocols to reduce the risk of further injuries.
脆性骨折的发生率正以越来越快的速度上升，造成了巨大的经济和社会影响。已开展了基于门诊的脆性骨折项目，以识别高危患者，启动代谢性骨病的有效治疗，并改善患者护理团队成员之间的协调，目标是减少未来骨折的发生。住院项目则侧重于对急性骨折患者进行有效、高效的管理。两者都已证明在减少脆性骨折的影响方面取得了成功，但仍存在许多挑战。作为综合医疗团队的一员，骨科医生在识别高危患者、确保急性骨折得到适当护理以及启动治疗方案以降低进一步受伤风险方面起着不可或缺的作用。
