Focal issues in and strategies for treatment of periarticular osteoporotic fractures / 中华创伤杂志

ABSTRACT

Due to the aging population in China, the occurrence of osteoporotic fractures is surging. Osteoporotic fractures around the joints like wrist, hip or knee are usually more sophisticated, compared with those in vertebrae, causing more challenges in treatment and rehabilitation. When dealing with these cases, orthopedic surgeons should pay attention to systematic anti-osteoporosis therapy including medications like calcium supplement and bone metabolic regulation drugs. In addition, the bone quality of the patients and the implant stability should be considered during surgical procedures. Besides, the patients need to be guided to participate in early motions and weight-bearing exercises to gain better function and satisfactory recovery. The authors focus on the issues and strategies of anti-osteoporosis management, surgery protocol, early rehabilitation as well as long-term follow-up and prevention of the patients with periarticular osteoporotic fractures so as to provide references for clinical practices.