Kates Stephen L, Miclau Theodore
Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA.
Orthopaedic Trauma Institute at Zuckerberg San Francisco General-Trauma & Problem Fractures, San Francisco, CA.
OTA Int. 2022 Jun 9;5(3 Suppl):e192. doi: 10.1097/OI9.0000000000000192. eCollection 2022 Jun.
Osteoporotic fractures often result in reduced function after healing, with associated pain, disability, loss of independence, and reduced quality of life. Following osteoporotic fractures, it is common for older adults to sustain subsequent, or secondary, fractures. These fractures include those of the proximal femur, vertebrae, distal radius, proximal humerus, and other sites. Although widely recognized as a gap in care, the implementation of appropriate secondary fracture prevention programs has been carried out in most countries. A Fracture Liaison Service represents the best secondary fracture prevention model of care for managing osteoporosis following fragility fractures and falls. These programs have proven to be cost-effective, and represent a major advancement in patient care over those "usual care practices" seen in most community and academic medical centers. Key Fracture Liaison Service programmatic functions include case finding, patient assessment, osteoporosis assessment, initiation of osteoporosis treatment, falls prevention, education, and exercise.
骨质疏松性骨折愈合后常导致功能下降，伴有疼痛、残疾、失去独立生活能力以及生活质量降低。骨质疏松性骨折后，老年人发生后续或继发性骨折很常见。这些骨折包括股骨近端、椎骨、桡骨远端、肱骨近端及其他部位的骨折。尽管作为护理缺口已得到广泛认可，但大多数国家仍实施了适当的继发性骨折预防项目。骨折联络服务是脆性骨折和跌倒后管理骨质疏松症的最佳继发性骨折预防护理模式。这些项目已被证明具有成本效益，相对于大多数社区和学术医疗中心的“常规护理做法”而言，是患者护理方面的一项重大进步。骨折联络服务的关键项目功能包括病例发现、患者评估、骨质疏松症评估、启动骨质疏松症治疗、预防跌倒、教育和锻炼。
