Symposium Addresses Secondary Fracture Prevention

Fragility fractures account for an estimated 800,000 hospital admissions per year, and this number is rising as the population ages. Furthermore, patients who have had a fragility fracture are two to six times more likely to have another fracture, making secondary fracture prevention an imperative for the delivery of quality orthopaedic care to a growing population of older adults.

In the symposium, “Secondary Fracture Prevention,” scheduled today from 4 p.m. – 6 p.m. in the LaNouvelle Ballroom, topics slated for discussion include strategies to develop and implement fragility fracture service line improvements and strategies to initiate bone healthcare coordination for fragility fracture patients at increased risk of future osteoporotic fractures.

The American Orthopaedic Association developed a quality improvement program, Own the Bone®, to encourage orthopaedic surgeons to become involved in the bone health management and initiation of care coordination for patients who have fragility fractures. The Orthopaedic Trauma Association and AAOS have actively supported this effort and released a position statement, “Orthopaedic Care of Patients with Fragility Fractures” in September 2016 to encourage orthopaedists to prevent subsequent fragility fractures through early detection and treatment of metabolic bone disease in their patients.

The stakes for our specialty’s reputation and future go beyond fragility fractures and secondary fracture prevention, as the consequences of unaddressed metabolic bone disease can result in complications of orthopaedic surgery. Increasingly, the linkages between poor bone health and negative outcomes after orthopaedics surgery provide a rationale for bone health optimization.

The symposium will address multidisciplinary implementation considerations for secondary fracture prevention and the bone health optimization of patients as well as the role orthopaedists should assume in identifying patients who require testing, recommending life style changes, and providing direction regarding pharmacologic therapy for patients.