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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
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The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
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Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
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The minerals contained in all of the food we consume are essential for our organ systems. However, certain essential minerals, such as calcium, phosphorus, magnesium, manganese, and fluoride, largely affect bone health.
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Recommendations for the prevention of fragility fractures: a consensus from international experts and Ibero-American

Pilar Sáez-López1,2, César Aldecoa Álvarez-Santullano3, Rosa Arboiro-Pinel4

  • 1Hospital La Paz Research Institute (IdiPAZ), Madrid, Spain.

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Summary

This consensus provides ten key recommendations to prevent fragility fractures and improve patient care. It emphasizes multidisciplinary collaboration across healthcare sectors for better outcomes.

Keywords:
Consensus statementFragility fractureOsteoporosisStakeholder

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Area of Science:

  • Gerontology
  • Orthopedics
  • Public Health

Background:

  • Fragility fractures represent a significant and growing public health concern.
  • Increasing incidence, disability, and healthcare expenditures associated with these fractures necessitate urgent action.

Purpose of the Study:

  • To establish a multidisciplinary consensus on preventing fragility fractures.
  • To outline key recommendations for improving patient care through coordinated healthcare efforts.

Main Methods:

  • An international expert group coordinated by the Spanish National Hip Fracture Registry (RNFC) was convened.
  • A nominal group technique involving over 300 professionals and 31 societies was used to develop ten core recommendations.
  • The consensus underwent multiple reviews and was finalized in March 2024.

Main Results:

  • Ten actionable recommendations were developed, covering health policy, frailty and fall management, clinical guidelines, registries, specialized units (Orthogeriatric Units, Fracture Liaison Services - FLS), a 'Fragility Fracture Code,' primary care empowerment, patient involvement, public awareness, and research promotion.
  • Specific recommendations include integrating osteoporosis and fracture care into health policies and promoting research with patient-reported outcomes.

Conclusions:

  • Fragility fractures pose a major public health challenge requiring unified, evidence-based guidance.
  • The consensus provides a framework for policymakers, healthcare professionals, and patient organizations.
  • Implementation aims to reduce fracture incidence and improve patient outcomes via coordinated, multidisciplinary care.