Management of Fractures in Severely Osteoporotic Bone

Orthopedic and Pharmacologic Strategies

  • Karl Obrant

Table of contents

  1. Front Matter
    Pages i-xvi
  2. General Aspects of Osteoporosis and Fracture

    1. Front Matter
      Pages 1-1
    2. E. M. C. Lau, P. C. Leung
      Pages 3-12
    3. E. F. Eriksen, H. Glerup
      Pages 13-32
    4. C.-C. Glüer, R. Barkmann
      Pages 44-53
    5. R. Huiskes, T. S. Kaastad
      Pages 54-71
    6. J.-E. B. Jensen, H. A. Sørensen, O. H. Sørensen
      Pages 72-84
    7. H. Kröger, R. Honkanen
      Pages 85-98
  3. Fracture Healing

    1. Front Matter
      Pages 99-99
    2. T. R. Johnson, E. Tomin, J. M. Lane
      Pages 111-126
  4. Orthopaedic Management Options

    1. Front Matter
      Pages 127-127
    2. Hip Fracture

      1. G. A. Pryor
        Pages 129-145
      2. M. R. Baumgaertner, C. M. Wahl
        Pages 146-162
      3. R. Hoffmann, S. Kolbeck
        Pages 163-172
    3. Wrist Fracture

      1. S. L. Olmsted, R. M. Szabo
        Pages 173-189
      2. M. D. Putnam
        Pages 190-205
    4. Spine Fractures

      1. U. Berlemann, P. F. Heini
        Pages 206-213
      2. K. Kaneda, M. Ito
        Pages 214-227
    5. Other Fractures in Osteoporotic Patients

      1. P. Vienne, C. Gerber
        Pages 228-242
      2. H. Hastings II, M. R. Robichaux
        Pages 243-264
      3. P. M. Rommens, M. H. Hessmann
        Pages 265-279
      4. P. L. O. Broos, F. M. A. Robijns
        Pages 280-295
      5. J. L. Marsh
        Pages 296-308
      6. J. Karlsson, S. Brandsson, M. Möller
        Pages 309-317
  5. Nonpharmacological Prevention of Osteoporotic Fractures

    1. Front Matter
      Pages 331-331
    2. L. Wehren, J. Magaziner
      Pages 333-352
    3. J. B. Lauritzen, W. C. Hayes
      Pages 353-361
    4. J. Z. Ilich, J. E. Kerstetter
      Pages 362-382
    5. P. Kannus, H. Sievänen
      Pages 383-390
  6. Pharmacological Prevention of Osteoporotic Fractures

    1. Front Matter
      Pages 391-391
    2. R. L. Prince
      Pages 393-410
    3. A. Oladipo, J. C. Stevenson
      Pages 411-421
    4. H. Fleisch
      Pages 422-436
    5. V. Halkin, J.-Y. Reginster
      Pages 437-442
    6. P. Geusens, D. Vanderschueren, S. Boonen
      Pages 462-473
    7. J. E. Compston
      Pages 474-482
  7. Identification and Management of Secondary or Localized Bone Loss

    1. Front Matter
      Pages 497-497
    2. J. Dequeker, R. Westhovens, I. Ravelingien
      Pages 499-518
    3. C. Trevisan, S. Ortolani
      Pages 525-541
    4. J. H. B. Geertzen, P. U. Dijkstra
      Pages 542-551
    5. A. S. Shanbhag, H. E. Rubash
      Pages 552-562
  8. Concluding Remarks

  9. Back Matter
    Pages 585-604

About this book


Over the past decade, major advances have taken place in the management of osteoporosis. Newdasses of pharmaceutical agents have been developed, tested, and used to treat millions of patients; education and early detection programs have been instituted around the world; and bone densitometry has received widespread recognition by healthcare agencies as being central to the preven­ tive health strategy necessary to care for an aging population. With all these advances, scientists continue to explore new methods to understand and treat this disease. The field of orthopaedic surgery has a great opportunity to bring this new information to its dinics and operating rooms. It is critically impor­ tant that the practicing surgeon be armed with this knowledge. Fractures are dearly the most common orthopaedic problem associated with osteoporosis. The goals of treatment are rapid restoration of mobilityand func­ tion and return of patients to a level of activity that supports their general health. The ability to control the metabolic condition or to treat the under­ lying cause of the osteoporosis with pharmacological intervention willimprove surgical results. Moreover, the special techniques required to succeed in the operative treatment of bone, which is already weakened by osteoporosis, must be carefully developed, tested, and understood. This book provides the first attempt to bring this body of information to the orthopaedic surgeon in a dearly organized and comprehensive way. Historically, few orthopaedic surgery or trauma training programs have offered much in the way of education in the science of bone metabolism.


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Editors and affiliations

  • Karl Obrant
    • 1
  1. 1.Department of Medicine, Surgery and OrthopaedicsMalmö University HospitalMalmöSweden

Bibliographic information