Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Osteoporosis
Abstract number: 25650
LOW-ENERGY FRACTURES - A PREVENTIVE CHALLENGE FOR AN
ORTHOPAEDIC SURGEON?
Miroslaw JABLONSKI
Department of Orthopaedics and Rehabilitation, Lublin (POLAND)
An analysis of bibliographical data and every day practice demonstrate that the level
of self-consciousness of the need of prevention of low-energy fractures in the
orthopaedic community is relatively low. On the other hand proven pharmacological
interventions exist that could decrease the risk of osteoporotic fracture by half in
comparison with untreated subjects. The goal of this presentation is to alert vast and
basic orthopaedic community about need of introduction a pharmacological treatment
in patients with low-energy fracture. In spite of the fact that some primary actions
confirming the diagnosis of osteoporosis (e.g. DEXA) should be introduced, they are
not a prerequisite for introduction of the treatment even in bed-ridden subjects as
parenteral forms of antiosteoporotic drugs are available.A concise review of the
burden and impact of low-energy fractures on the health-care economies in welldeveloped
countries will be discussed. The modalities of surgical interventions
concerning different locations of fractures will be presented stressing the need for
augmentation of bone stock obviously deficient in osteoporotic subjects. Postsurgical
complications will be stressed with the emphasis on life- and function
threatening conditions concerning predominantly vertebroplasty and kyphoplasty. A
need for early pharmacological treatment including parenteral therapies with antiosteoporotic
drugs will be demonstrated since well documented data exist showing
that such measures could reverse the secular trends in osteoporotic fractures
occurrence.A low-energy fracture in the adult should always alert of possible
underlying osteoporosis and treating orthopaedic surgeon should be aware of a need
for urgent apart from surgical concomitant pharmacological intervention.
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