Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
Best Pract Res Clin Rheumatol. 2019 Apr;33(2):301-309. doi: 10.1016/j.berh.2019.05.002. Epub 2019 Jun 6.
Osteoporosis and fragility fractures have become a major healthcare challenge globally in the recent years. However, this problem has only recently been accorded its due importance in developing countries such as India. India is a model case study for the management of osteoporosis and fragility fractures in a resource-limited setting, as it harbors a large geriatric population and has the highest prevalence of osteopenia globally. It is imperative to identify the myriad factors contributing to poor bone health and understand the many hurdles encountered to tackle this healthcare problem in a developing country. Innovative methods for managing fragility fractures are commonly seen. Collaborative multidisciplinary care and structured, evidence-based management has finally found its place in India with the establishment of a regional fragility fracture network. This chapter outlines the current status of management of fragility fractures in India by focusing on the disease burden, hurdles, innovative treatment methods, and the challenges lying ahead.
近年来，骨质疏松症和脆性骨折已成为全球范围内的主要医疗保健挑战。然而，这一问题直到最近才在印度等发展中国家得到应有的重视。印度是资源有限环境下骨质疏松症和脆性骨折管理的典型案例研究，因为它拥有庞大的老年人口，并且全球骨质疏松症的发病率最高。确定导致骨骼健康不良的众多因素，并了解在发展中国家解决这一医疗保健问题所遇到的诸多障碍至关重要。我们可以看到管理脆性骨折的创新方法的出现。通过建立区域性脆性骨折网络，协作式多学科护理和结构化、基于证据的管理终于在印度找到了自己的位置。本章通过关注疾病负担、障碍、创新治疗方法以及未来面临的挑战，概述了印度脆性骨折管理的现状。
