Peter KK Wong
Rheumatologist, PO Box 6307, Coffs Harbour NSW 2450
Australia
Review Article
Osteoporotic Fracture – When Repairing the Fracture is not enough
Author(s): Peter KK Wong and Grad Dip Clin EpiPeter KK Wong and Grad Dip Clin Epi
Osteoporotic fractures are a major public health problem in most Western countries. Due to their ageing population, Asia and South America will soon feel the burden of this issue. Osteoporotic/low trauma fractures are associated with increased morbidity and mortality and are often followed by further fractures. Effective and welltolerated bone protective medication such as bisphosphonates and denosumab are readily available and has been shown to prevent further fractures. As the molecular biology of bone turnover is now well-characterised, more specific targeted therapies are currently undergoing clinical trial.
Despite these advances in pharmacotherapy secondary prevention of osteoporosis following low trauma fracture is often not implemented. Reasons for this include lack of appreciation of the importance of a low trauma fracture as a predictor of morbidity and mortality, la.. View More»
