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骨质疏松症:美国骨骼与矿物质研究学会和国际临床密度测定学会的最新建议和立场。

Osteoporosis: Recent Recommendations and Positions of the American Society for Bone and Mineral Research and the International Society for Clinical Densitometry.

机构信息

Department of Orthopedic Surgery & Rehabilitation, University of Wisconsin, Madison, Wisconsin.

出版信息

J Bone Joint Surg Am. 2021 Apr 21;103(8):741-747. doi: 10.2106/JBJS.20.01248.

Abstract

➤: Osteoporosis is common in orthopaedic patients, not only in those sustaining fragility fractures but also in patients ≥50 years old who are having elective orthopaedic surgery.

➤: The American Society for Bone and Mineral Research (ASBMR) has developed consensus-based recommendations for secondary fracture prevention for all patients who are ≥65 years old with a hip or spine fracture.

➤: The ASBMR encourages orthopaedic surgeons to "Own the Bone," by beginning prevention of a secondary fracture during hospitalization for a fragility fracture, if practicable, and arranging follow-up for continued bone health care after discharge.

➤: The International Society for Clinical Densitometry (ISCD) recognized that many poor outcomes and complications of elective orthopaedic surgery are related to osteoporosis.

➤: The ISCD used an evidence-based approach to create official positions to identify which patients ≥50 years old who are having elective orthopaedic surgery should undergo assessment of bone health and how this should be performed.

摘要

➤: 骨质疏松症在骨科患者中很常见,不仅发生在发生脆性骨折的患者中,也发生在≥50 岁接受择期骨科手术的患者中。

➤: 美国骨骼与矿物质研究学会(ASBMR)为≥65 岁髋部或脊柱骨折的所有患者制定了二级骨折预防的共识建议。

➤: ASBMR 鼓励骨科医生“关注骨骼”,如果可行,在因脆性骨折住院期间开始预防二次骨折,并在出院后安排继续进行骨骼保健。

➤: 国际临床密度测定学会(ISCD)认识到,许多择期骨科手术的不良后果和并发症与骨质疏松症有关。

➤: ISCD 采用循证方法制定了官方立场,以确定≥50 岁接受择期骨科手术的患者中哪些患者应接受骨健康评估,以及应如何进行评估。

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