[Treatment program for osteoporotic fractures]

The Department of Orthopedics and Traumatology in Siedlce was responsible for specialized care of 662,000 people of the Siedleckie region in 1997. In the period from 01.01.97 to 31.12.97, 280 osteoporotic fractures of proximal femur, vertebral bodies and distal radius were treated in patients over 50 years of age. High impact trauma cases were excluded as well as those involving different than osteoporotic pathology of bone. The majority (217) of the fractures referred to the proximal femur (trochanter--125, neck--92). In these cases, operational methods (183) were used: Ender intramedullary nailing (108), hemialloplastics (56), hip screws (19). There were 39 patients hospitalized with the distal radius fracture, 29 of them were operated. The fractures of the vertebral bodies (24) were stabilized with Jewett brace (21). The results of osteoporotic fracture treatment in the Department support validity of principles of early operational treatment and intensive pre- and postoperative rehabilitation.