Calcified Tissue International

, Volume 81, Issue 2, pp 85–91 | Cite as

Refracture following Fracture Liaison Service Assessment Illustrates the Requirement for Integrated Falls and Fracture Services

  • Claire R. Langridge
  • Carol McQuillian
  • Walter S. Watson
  • Barbara Walker
  • Lara Mitchell
  • Stephen J. Gallacher


The Fracture Liaison Service (FLS) allows appropriate antiosteoporosis therapy to be targeted to potentially reduce future fracture risk. A proportion of these treated patients will still experience a further fracture. This work reviews the characteristics of these patients. Data were collated for patients >65 years old presenting to the South Glasgow FLS between January 2001 and August 2004. There were 2,489 patients who presented (incident fracture group), and 129 (5.2%) sustained an additional fracture (refracture group). Median age of the incident fracture group was 77.8 years vs. 80.6 years for the refracture group (P = nonsignificant). The refracture group was determined according to whether their incident fracture was hip (n = 47) or nonhip (n = 82). When the incident fracture was hip, a refracture was more likely to be a further hip fracture (χ2 = 14.4, P = 0.002) and patients refractured sooner (median time to refracture 194 [range 10–1,134] days vs. 258 [range 6–1,081] days [nonhip]) (P = nonsignificant). In the refracture group, 76% of patients were already on osteoporosis treatment after their incident fracture. Patients over 65 years of age presenting to FLS who sustain an additional fracture are older; are likely to sustain another hip fracture after an incident hip fracture; often refracture early, particularly when the incident fracture is of the hip; and are often already on antiosteoporosis treatment. Therefore, it is important to identify these high-risk patients and offer a combined approach of prompt drug treatment through a systematic and specialist osteoporosis management team along with reducing any reversible falls risk factors.


Falls Fracture Osteoporosis Fracture Liaison Service Dual-energy X-ray absorptiometry 


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Claire R. Langridge
    • 1
    • 2
  • Carol McQuillian
    • 3
  • Walter S. Watson
    • 4
  • Barbara Walker
    • 4
  • Lara Mitchell
    • 1
  • Stephen J. Gallacher
    • 3
  1. 1.Department of Medicine for the ElderlySouthern General HospitalGlasgowUK
  2. 2.Department of Medicine for the ElderlySouthern General HospitalGlasgowUK
  3. 3.Department of MedicineSouthern General HospitalGlasgowUK
  4. 4.Department of Nuclear MedicineSouthern General HospitalGlasgowUK

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