ABSTRACT
In Mexico, the fragility fractures (FF) represent a public health problem;recent reports state rates of almost 2,000 cases for every 100,000 inhabitants with an expected sevenfold increase by 2050 (Clark.P- 2005). Hip fracture cases will go up from 155,875 to 226,886 in 2050 (5.2 to 7.2 timesmore than those registered in 2005) (Johansson.H-2011). According to ICUROS-Mx study mortality after FF was 20.2%. Quality of life after FF is affected significantly (Borgstrom.F-2013). The costs related with the handling of nonpharmacological low bone mass (osteopenia), osteoporosis and FF are high in our country;they reach over 5,191 million (MXP) in 2010 and $ 7,575 million pesos in 2020 (Carlos.F-2013). TheMexican health care system comprises two sectors: public and private, offers coverage to 82.2% of the 119.5 million inhabitants registered in that year. An example is Instituto Mexicano del Seguro Social (IMSS) Victoriode- la-Fuente-Narváez where the traumatology unit alone will require a budget greater than 315,000,000 million (MXP) per year as per 2050 forecasts. We show the direct costs derived from the most frequent FF according to the Group Related Diagnosis (GRP) published in 2017 by the IMSS with costs updated to 2020 (Gilma.A-2014). Fracture Liaison Services (FLS) with a worldwide successful experience for the care of FF patients offer diverse and feasible models enable to adapt to different Health Systems settings. The aim of this review is to put forward the possible implementation of the International Osteoporosis Foundation (IOF) Capture the Fracture® program) in Mexico. The initial experience in the implementation of the Capture the Fracture program in diverse Mexican institutions shows us that this program is feasible of being adapted for being implemented in countries with fragmented health system such as Mexico. The fishbone diagram below (Figure 1) lists the barriers impacting the development of FLSs inMexico. These barriers include a series of factors required for an effective and efficient FLS. All these factors were exacerbated by the COVID-Sars2. Conclusion: Fragility fractures represent a health problem in Mexico and in the world. This study reviews and puts forward the implementation of FLS as a feasible and cost-effective alternative in health institutions in our country.