Department of Orthopedic Surgery & Rehabilitation, University of Wisconsin, Madison, Wisconsin.
J Bone Joint Surg Am. 2021 Apr 21;103(8):741-747. doi: 10.2106/JBJS.20.01248.
➤: 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.
➤: 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。