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FRAGILITY FRACTURES IN BRAZIL: CROSS-SECTION STUDY
Luiz Fernando Cocco1,2, Mariana Vendramin Mateussi1, João Carlos Pedro Filho1
1Universidade Federal de São Paulo, Escola Paulista de Medicina, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.
Acta Ortopedica Brasileira
|June 13, 2022
Summary
Orthopedists frequently encounter fragility fractures but lack knowledge of adjuvant treatments, focusing solely on orthopedic aspects. This highlights a gap in comprehensive patient care for these common injuries.
Area of Science:
- Orthopedics
- Geriatrics
- Public Health
Background:
- Fragility fractures represent a significant clinical challenge, particularly in aging populations.
- Orthopedic surgeons play a crucial role in managing these fractures, yet their scope of practice may vary.
Purpose of the Study:
- To assess the involvement of orthopedists and orthopedic residents in managing fragility fractures.
- To understand their perspectives on the clinical, therapeutic, and social dimensions of these injuries.
Main Methods:
- A cross-sectional, observational, and prospective study was conducted from June to August 2020.
- Data were collected from 540 participants, including orthopedists and orthopedic residents across Brazil.
Main Results:
- Most participants (85.56%) were orthopedists, with a significant proportion (36.67%) aged 41-50.
- A common patient profile for fragility fracture risk was identified as: female, sedentary, smoker, and over 60 years old.
- While 97.96% agreed fractures occur in or near home, and 63.89% manage over 15 cases annually, 74.44% focus exclusively on orthopedic aspects, indicating limited familiarity with adjuvant treatments.
Conclusions:
- Fragility fractures are a common occurrence in the practice of Brazilian orthopedists.
- There is a notable gap in orthopedists' knowledge and application of adjuvant treatments for fragility fractures.
- Orthopedic management of fragility fractures is often limited to surgical and orthopedic interventions, neglecting a multidisciplinary approach.
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