Overview
About Osteoporotic Fracture Care
Osteoporotic (fragility) fractures occur from relatively minor trauma — a simple fall from standing height or even routine activity — in bones already weakened by osteoporosis, most commonly affecting the hip, spine, and wrist. Effective care requires two parallel tracks: surgical or conservative management of the fracture itself to restore function quickly, and simultaneous treatment of the underlying osteoporosis with bone-strengthening medications such as bisphosphonates or denosumab to reduce the risk of a future fracture.
Key Benefits
Coordinated fracture treatment and osteoporosis management in a single care pathway
Prompt fracture fixation enables faster mobility and reduces complications, especially in the elderly
Bone-strengthening medication significantly reduces the risk of a subsequent fracture
Identifies and addresses contributing factors like vitamin D deficiency alongside the fracture
Structured follow-up ensures both the fracture and the underlying bone disease are tracked
Frequently Asked Questions
What makes a fracture "osteoporotic"?
An osteoporotic (or fragility) fracture occurs from a fall or impact that would not normally break a healthy bone — typically a fall from standing height — indicating that the bone was already significantly weakened by osteoporosis.
Why does a hip fracture need both surgery and osteoporosis treatment?
Surgery restores mobility and addresses the immediate injury, but without treating the underlying osteoporosis, the bone remains weak and the risk of a second fragility fracture — including in the other hip — remains high. Treating both together significantly reduces this risk.
What medications are used to strengthen bone after a fracture?
Commonly used bone-strengthening medications include bisphosphonates (oral or intravenous) and denosumab (an injectable medication), both of which reduce the rate of bone breakdown and lower the risk of future fractures.
How soon after a fracture can osteoporosis treatment be started?
Osteoporosis treatment can typically be started within a few weeks of the fracture, once the acute injury is stabilised, allowing both the fracture and the underlying bone disease to be addressed without unnecessary delay.
What is a fracture liaison pathway?
A fracture liaison pathway is a coordinated system in which anyone presenting with a fragility fracture is automatically assessed for osteoporosis and started on appropriate treatment, ensuring fracture prevention is addressed alongside fracture treatment rather than overlooked.