Format

Send to

Choose Destination
Int J Clin Pract. 2008 Mar;62(3):382-7. doi: 10.1111/j.1742-1241.2007.01662.x. Epub 2008 Jan 8.

Secondary prevention of fragility fractures by orthopaedic teams in the UK: a national survey.

Author information

1
South Birmingham Trauma Unit, Selly Oak Hospital, Birmingham, UK. cs_jagan@yahoo.com

Abstract

OBJECTIVE:

To assess secondary prevention of fragility fractures by orthopaedic surgeons in the UK and study the effect of multidisciplinary approach in providing secondary prevention.

METHODS:

A survey was conducted consisting of a postal questionnaire sent to 1000 UK orthopaedic surgeons. 750 valid responses were received.

RESULTS:

The survey revealed poor compliance with existing guidelines. In the 60- to 80-year age group, the presence of a fracture liaison nurse made a significant difference in the prescription of vitamin D and calcium, providing weight bearing advice, fall risk assessment and dual energy x-ray absorptiometry (DEXA) scan requests. Orthogeriatric service made a significant difference in providing weight bearing advice and DEXA scan requests. In the above 80-year age group, fracture liaison nurses made a significant difference in provision of fall risk assessment and weight bearing advice. Orthogeriatric services made a significant difference in prescribing vitamin D and calcium, providing weight bearing advice and for DEXA scan requests.

CONCLUSION:

The study re-emphasises the inadequate initiation of secondary preventive measures by orthopaedic units. It also highlights the importance of orthogeriatric and fracture liaison nurse services in improving compliance with existing guidelines.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center