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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2022, Number 5

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Acta Ortop Mex 2022; 36 (5)

Risk of refracture according to the FRAX score in patients older than 50 years who suffer a fracture by a low-impact mechanism

Garza-de ZR, López-Rubio A, Carús-Blázquez M, Saucedo-Moreno E, Ramos-Morales J

Language: Spanish
References: 18
Page: 292-296
PDF size: 120.06 Kb.


ABSTRACT

Introduction: as the population pyramid inverts, we'll see more old patients suffering a fracture secondary to a low impact mechanism and not all hospitals have a densitometer to make a definitive diagnosis. Nevertheless, we have clinical tools that can help us to start an early treatment. Objective: to recognize the risk of re-fracture of patients older than 50 years in our population. Material and methods: we included all patients older than 50 that suffered a low impact fracture in the Ángeles Mocel Hospital. We used Mexico FRAX score tool to determine de risk of suffering a fracture. The sample was divided in two groups. Utilizing p < 0.05 and a CI of 95%. Results: 69 patients where included. 47.8% had past fractures and only 10% of those had preventive osteoporotic treatment. 50.7% of the patients have a high risk of suffering a mayor osteoporotic fracture in 10 years and 75% of suffering a hip fracture in 10 years. None of the patients received a treatment, either lifestyle modifiers or specific osteoporosis pharmacotherapy at hospital discharge. Conclusion: there is a deficiency in the early preventive management of osteoporosis in patients suffering a low impact fracture by orthopedic surgeons.


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