Improving Patients' Outcomes After Osteoporotic Fractures

Rozalia Dimitriou; Giorgio Maria Calori; Peter V Giannoudis


Int J Clin Rheumatol. 2012;7(1):109-124. 

In This Article


As populations are aging, osteoporotic fractures have become one of the most prevalent trauma conditions seen daily in clinical practice. Therefore, these fractures represent a major public health problem, as they are associated with high rates of morbidity, disability and pain, and even mortality and high cost. Therefore, in addition to primary prevention strategies, efforts should be made to improve patients' outcomes after fragility fractures and optimize their overall management. By providing adequate fracture fixation and postfracture care in terms of evaluation and appropriate medical treatment of osteoporosis, rehabilitation, lifestyle modifications and fall prevention (Figure 1), the aim is to attain optimal functional recovery, reduce future fracture risk, and improve bone health and overall quality of life. The need for a multidisciplinary approach and the establishment of clinical pathways is obvious to ensure high-quality care and adherence to medical treatment and other secondary prevention strategies.

Figure 1.

Summary of the overall management of patients after an osteoporotic fracture aiming to improve outcome.
DEXA: Dual-energy x-ray absorptiometry.