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Acta ortopédica mexicana

versão impressa ISSN 2306-4102

Resumo

GARZA-DE ZAMACONA, R et al. Risk of refracture according to the FRAX score in patients older than 50 years who suffer a fracture by a low-impact mechanism. Acta ortop. mex [online]. 2022, vol.36, n.5, pp.292-296.  Epub 15-Jan-2024. ISSN 2306-4102.  https://doi.org/10.35366/111163.

Introduction:

as the population pyramid inverts, we’ll see more old patients suffering a fracture secondary to a low impact mechanism and not all hospitals have a densitometer to make a definitive diagnosis. Nevertheless, we have clinical tools that can help us to start an early treatment.

Objective:

to recognize the risk of re-fracture of patients older than 50 years in our population.

Material and methods:

we included all patients older than 50 that suffered a low impact fracture in the Ángeles Mocel Hospital. We used Mexico FRAX score tool to determine de risk of suffering a fracture. The sample was divided in two groups. Utilizing p < 0.05 and a CI of 95%.

Results:

69 patients where included. 47.8% had past fractures and only 10% of those had preventive osteoporotic treatment. 50.7% of the patients have a high risk of suffering a mayor osteoporotic fracture in 10 years and 75% of suffering a hip fracture in 10 years. None of the patients received a treatment, either lifestyle modifiers or specific osteoporosis pharmacotherapy at hospital discharge.

Conclusion:

there is a deficiency in the early preventive management of osteoporosis in patients suffering a low impact fracture by orthopedic surgeons.

Palavras-chave : osteoporosis; FRAX score; refracture risk.

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