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The surgical management of fragility fractures 

The surgical management of fragility fractures
The surgical management of fragility fractures

Paul J. Smitham

and David R. Marsh

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date: 28 January 2021

A fragility fracture has been defined as a fracture resulting from a fall from no more than standing height. The common fractures considered to be osteoporotic are hip, wrist, vertebrae, proximal humeral.

The general principle in fracture management is to reduce, hold, and rehabilitate. Fragility fractures are no different; however, there is an overriding requirement to provide early mobilization.

Hip fractures are probably the most severe consequence of osteoporosis.

The osteoporotic distal radial fracture encompasses a vast array of different fracture patterns that require a spectrum of management options.

Vertebral fractures are an important-and underestimated-part of the fragility fracture epidemic.

The main treatment options for osteoporotic shoulder fractures are conservative management (in a simple sling), open reduction and internal fixation, or arthroplasty

Osteoporotic fracture management has changed considerably over the last decade; this has led to a better understanding of the condition and considerable improvements in enhanced care pathways by harnessing the skills of a multidisciplinary approach.

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