Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2015 Mar;27(1):9-16.
doi: 10.5371/hp.2015.27.1.9. Epub 2015 Mar 31.

Nonsurgical Treatment Strategies after Osteoporotic Hip Fractures

Byung-Woo Min  1 , Kwang-Soon Song  1 , Ki-Cheor Bae  1 , Chul-Hyun Cho  1 , Eun-Suck Son  1 , Kyung-Jae Lee  1
Affiliations
Review

Nonsurgical Treatment Strategies after Osteoporotic Hip Fractures

Byung-Woo Min et al. Hip Pelvis. 2015 Mar.

Abstract

Osteoporosis is a metabolic disease that is increasing in prevalence as people live longer. Because the orthopedic surgeon is frequently the first and often the only physician to manage patients with osteoporotic hip fractures, every effort should be made to prevent future fractures. A multidisciplinary approach is essential in treatment of osteoporotic fractures. Basic treatment includes calcium and vitamin D supplementation, fall prevention, hip protection, and balance and exercise programs. Currently available pharmacologic agents are divided into antiresorptive and anabolic groups. Antiresorptive agents such as bisphosphonates limit bone resorption through inhibition of osteoclastic activity. Anabolic agents such as parathyroid hormone promote bone formation.

Keywords: Hip fractures; Medication; Osteoporosis.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1. A 77-year-old wonam who underwent teeth extraction followed-by osteonecrosis of mandible.
Fig. 2
Fig. 2. Radiological characteristics of atypical femoral fractures. 1: localized endosteal thickening, 2: transverse fracture pattern, 3: medial spike, 4: localized periosteal thickening at fracture site.
Fig. 3
Fig. 3. Contralateral incomplete atypical subtrochanteric fracture. Arrow: localized periosteal thickening (beaking or flaring).
Fig. 4
Fig. 4. Elliptical lateral cortical buckling. Arrow: localized periosteal thickening (beaking or flaring).
See this image and copyright information in PMC

References

    1. Shea B, Wells G, Cranney A, et al. Osteoporosis Methodology Group and The Osteoporosis Research Advisory Group. Meta-analyses of therapies for postmenopausal osteoporosis VII Meta-analysis of calcium supplementation for the prevention of postmenopausal osteoporosis. Endocr Rev. 2002;23:552–559. - PubMed
    1. Warensjö E, Byberg L, Melhus H, et al. Dietary calcium intake and risk of fracture and osteoporosis: prospective longitudinal cohort study. BMJ. 2011;342:d1473. - PMC - PubMed
    1. Bolland MJ, Avenell A, Baron JA, et al. Effect of calcium supplements on risk of myocardial infarction and cardiovascular events: meta-analysis. BMJ. 2010;341:c3691. - PMC - PubMed
    1. Bolland MJ, Barber PA, Doughty RN, et al. Vascular events in healthy older women receiving calcium supplementation: randomised controlled trial. BMJ. 2008;336:262–266. - PMC - PubMed
    1. Bolland MJ, Grey A, Avenell A, Gamble GD, Reid IR. Calcium supplements with or without vitamin D and risk of cardiovascular events: reanalysis of the Women's Health Initiative limited access dataset and meta-analysis. BMJ. 2011;342:d2040. - PMC - PubMed

LinkOut - more resources