Diagnosis and Treatment of Osteoporosis

What Orthopaedic Surgeons Need to Know

Elizabeth G. Matzkin, MD; Marlene DeMaio, MD; Julia F. Charles, MD, PhD; Corinna C. Franklin, MD


J Am Acad Orthop Surg. 2019;27(20):e902-e912. 

In This Article


In summary, orthopaedic surgeons are at the front line of recognizing patients with osteoporosis and those at high risk of osteoporotic fracture. Osteoporosis treatment provides clear and substantial fracture prevention benefit: treating 1,000 patients with a diphosphonate for 3 years has been calculated to prevent approximately 100 fractures.[38] The first step in getting patients into treatment is identification and referral of patients at risk. The orthopaedic surgeon can play an essential role in educating patients that they are at risk and that safe and effective therapies exist and referring them for appropriate assessment and management.