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Published on: November 8, 2024
EVALUATION OF POST-SURGICAL MANAGEMENT OF FRAGILITY FRACTURES
João Carlos Pedro1, Roberto Bezerra Nicolau1, Renato Watoniki Offenbacher1
1Universidade Federal de São Paulo, Paulista School of Medicine, Department of Orthopedics and Traumatology, São Paulo, SP, Brasil.
Objective:
To evaluate the conduct of Brazilian orthopedists regarding preventive treatment after fragility fracture surgery.
Methods:
A questionnaire was applied to Brazilian orthopedists. Statistical analyses were performed using the SPSS 16.0 program.
Results:
257 participants were analyzed. Most participants, 90.7% (n = 233), reported that they cared for patients with fractures and 62.3% (n = 160) treated them. The most indicated treatments were vitamin D (22.6%; n = 134) and calcium supplementation (21.4%; n = 127). According to the experience of the physicians - experienced (n = 184) and residents (n = 73) - fragility fractures were more common in the routine of residents (98.6%; n = 72) than experienced physicians (87.5%; n = 161), p = 0.0115. While treatment conduction was more reported by experienced physicians (63.6%; n = 117) than residents (58.9%; n = 43), p = 0.004. More experienced orthopedists (21.4%; n = 97) indicated treatment with bisphosphates than residents (14.2%; n = 20), p = 0.0266.
Conclusion:
Although most professionals prescribe treatment after fragility fracture surgery, about 40% of professionals still do not treat it, with differences in relation to experience. In this sense, we reinforce the importance of secondary prevention in the management of fragility fractures. Level of Evidence II, Prospective comparative study.
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