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Problematiche delle fratture da fragilità ossea. La nostra esperienza nella gestione delle fragilità ossee nella Regione Piemonte

The problem of osteoporosis-related fractures. Our experience in the management of bone frailty in the Piedmont Region

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Archivio di Ortopedia e Reumatologia

Abstract

Osteoporosis-related fractures are extremely common among elderly people throughout the world and Piedmont makes no exception, with an high incidence of hip fractures (HF) (126.13/100,000) in people aged more than 60 years. HFs cause a decrease of the patient’s life expectancy and high costs for the National Health Service. Almost all cases require a surgical treatment that is chosen according to the type of bone fracture and the functional requirements of the patient. The choice is between arthroplasty (PHA or THA) and osteosynthesis (intramedullary nail, cannulated screw, DHS). It is interesting that in our Region the incidence of new fractures in patients that sustained a prior HF within 3 years was 13.01%, but only 1% of them was taking an appropriate anti-osteoporotic therapy, underlining its importance.

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Bibliografia

  1. Braithwaite RS, Col NF, Wong JB (2003) Estimating hip fracture morbidity, mortality and costs. J Am Geriatr Soc 51:364–370

    Article  PubMed  Google Scholar 

  2. Johnell O (1997) The socioeconomic burden of fractures: today and in the 21st century. Am J Med 103:20S–25S

    Article  PubMed  CAS  Google Scholar 

  3. Warriner AH, Patkar NM, Curtis JR et al (2011) Which fractures are most attributable to osteoporosis? J Clin Epidemiol 64:46–53

    Article  PubMed  Google Scholar 

  4. Autier P, Haentjens P, Bentin J et al (2000) Costs induced by hip fractures: a prospective controlled study in Belgium. Belgian Hip Fracture Study Group. Osteoporos Int 11:373–380

    Article  PubMed  CAS  Google Scholar 

  5. Cummings SR, Rubin SM, Black D (1990) The future of hip fractures in the United States. Numbers, costs, and potential effects of postmenopausal estrogen. Clin Orthop 252:163–166

    PubMed  Google Scholar 

  6. International Osteoporosis Foundation (2002) Osteoporosis in the European Community: a call for action. International Osteoporosis Foundation, Lyon

    Google Scholar 

  7. van Balen R, Steyerberg EW, Polder JJ et al (2001) Hip fracture in elderly patients: outcomes for function, quality of life, and type of residence. Clin Orthop 390:232–243

    Article  PubMed  Google Scholar 

  8. Dettoni F, Peveraro A, Dettoni A et al (2011) Epidemiology of hip fractures in northwestern Italy: a multicentric regional study on incidence of hip fractures and their outcome at 3-year follow-up. Musculoskelet Surg Jul 17 [Epub ahead of print]

  9. Röder F, Schwab M, Aleker T et al (2003) Proximal femur fracture in older patients — rehabilitation and clinical outcome. Age Ageing 32:74–80

    Article  PubMed  Google Scholar 

  10. Aharonoff GB, Koval KJ, Skovron ML, Zuckerman JD (1997) Hip fractures in the elderly: predictors of one year mortality. J Orthop Trauma 11:162–165

    Article  PubMed  CAS  Google Scholar 

  11. Kostuj T, Smektala R, Schulze-Raestrup U, Müller-Mai C (2011) The influence of timing of surgery on mortality and early complications in femoral neck fractures, by surgical procedure: An analysis of 22,566 cases from the German External Quality Assurance Program. Unfallchirurg Sep 1 [Epub ahead of print]

  12. Grimes JP, Gregory PM, Noveck H et al (2002) The effects of time to-surgery on mortality and morbidity in patients following hip fracture. Am J Med 112:702–709

    Article  PubMed  Google Scholar 

  13. Al-Ani AN, Samuelsson B, Tidermark J et al (2008) Early operation on patients with a hip fracture improved the ability to return to independent living. A prospective study of 850 patients. J Bone Joint Surg Am 90:1436–1442

    Article  PubMed  Google Scholar 

  14. Rogers FB, Shackford SR, Keller MS (1995) Early fixation reduces morbidity and mortality in elderly patients with hip fractures from low-impact falls. J Trauma 39:261–265

    Article  PubMed  CAS  Google Scholar 

  15. Moran CG, Wenn RT, Sikand M, Taylor AM (2005) Early mortality after hip fracture: is delay before surgery important? J Bone Joint Surg Am 87:483–489

    Article  PubMed  Google Scholar 

  16. Shiga T, Wajima Z, Ohe Y (2008) Is operative delay associated with increased mortality of hip fracture patients? Systematic review, meta-analysis and meta-regression. Can J Anaesth 55:146–154

    Article  PubMed  Google Scholar 

  17. Bansal R, Watson DK (2005) Surgical delay in acute admissions on warfarin: are we doing enough? Int J Clin Pract 59:1283–1288

    Article  PubMed  CAS  Google Scholar 

  18. Kearon C, Hirsh J (1997) Management of anticoagulation before and after elective surgery. N Engl J Med 336:1506–1511

    Article  PubMed  CAS  Google Scholar 

  19. Iwamoto J, Sato Y, Uzawa M et al (2011) Three-year experience with combined treatment with alendronate and alfacalcidol in Japanese patients with severe bone loss and osteoporotic fracture. Ther Clin Risk Manag 7:257–264

    Article  PubMed  CAS  Google Scholar 

  20. Bonnevialle P, Saragaglia D, Ehlinger M et al (2011) Trochanteric locking nail versus arthroplasty in unstable intertrochanteric fracture in patients aged over 75 years. Orthop Traumatol Surg Res 97[Suppl.]:95–100

    Article  Google Scholar 

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Authors and Affiliations

  1. Azienda Ospedaliera CTO — Maria Adelaide, Università degli studi di Torino, Torino, Italy

    P. Rossi & G. Collo

  2. Ospedale Mauriziano Umberto I Torino, SCDU Ortopedia e Traumatologia, Università degli Studi di Torino, Torino, Italy

    A. Pastrone, M. Bruzzone, F. Dettoni & F. Castoldi

Authors
  1. P. Rossi
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  2. A. Pastrone
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  3. M. Bruzzone
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  4. F. Dettoni
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  5. G. Collo
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  6. F. Castoldi
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Rossi, P., Pastrone, A., Bruzzone, M. et al. Problematiche delle fratture da fragilità ossea. La nostra esperienza nella gestione delle fragilità ossee nella Regione Piemonte. Arch Ortop Reumatol 122, 12–14 (2011). https://doi.org/10.1007/s10261-011-0037-z

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  • DOI: https://doi.org/10.1007/s10261-011-0037-z

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