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Secondary prevention of fragility fractures: case finding, fracture liaison, falls reduction, and injury prevention 

Secondary prevention of fragility fractures: case finding, fracture liaison, falls reduction, and injury prevention
Chapter:
Secondary prevention of fragility fractures: case finding, fracture liaison, falls reduction, and injury prevention
Source:
Oxford Textbook of Geriatric Medicine (3 edn)
Author(s):

Tahir Masud

and Paul J. Mitchell

DOI:
10.1093/med/9780198701590.003.0071

People who have already suffered from a low trauma fragility fracture are at a significantly increased risk of further fractures with their associated morbidity, mortality, and cost to health and social services. It is vital therefore that secondary prevention is provided in a timely fashion to these patients. Many areas are failing to meet this important objective due to gaps in services and a lack of appropriate pathways. Successful secondary prevention requires both treating osteoporosis with evidence-based treatments and measures to prevent falls and injury. Guidelines exist for secondary prevention of both falls and fractures. Falls prevention requires a multidisciplinary approach and a comprehensive geriatric assessment should form the basis for evaluating individuals. This chapter outlines examples of innovative developments that have occurred since the start of the millennium which have improved care by allowing these essential components of secondary prevention to be brought together in a coordinated manner.

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