The Fragility Fracture Blueprint: Orthopaedic Issues in Osteoporosis
When an elderly patient with severe osteoporosis sustains a fracture, the orthopedic surgeon faces a dual nightmare: the immediate mechanical failure of fixing crumbling bone, and the long-term metabolic failure that guarantees another fracture if left untreated. Orthopaedic Issues in Osteoporosis is a fiercely pragmatic, dual-focus manual that bridges the gap between the operating room and the endocrinology clinic. This volume provides the exact blueprints required to mechanically secure the fracture and metabolically secure the skeleton.
Mastering Osteoporotic Fixation
The core philosophy of this text is that standard surgical techniques fail in osteoporotic bone. The authors aggressively detail the use of locking plate technology and intramedullary nails. It dictates exactly how to augment screw purchase using polymethylmethacrylate (PMMA) bone cement, creating a solid anchor point within the hollowed-out osteoporotic metaphysis to prevent the hardware from catastrophically cutting out of the bone.
Navigating the Secondary Prevention Gap
The book provides a masterclass in closing the care gap. It dictates the exact clinical pathways for initiating a “Fracture Liaison Service.” It rigorously emphasizes that the surgeon’s job is not done when the incision is closed; they must actively initiate the metabolic workup (DEXA, Vitamin D levels) and begin antiresorptive therapy (like bisphosphonates) before the patient leaves the hospital, or they will inevitably return with a broken hip.
Frequently Asked Questions (FAQs)
Does this book cover the medical management of the disease?
Yes, it specifically addresses medical management *from the perspective of the orthopedic surgeon*, ensuring the patient gets treated even if they don’t have a primary care doctor.
Who is the primary audience?
It is the absolute, mandatory clinical guide for Orthopedic Surgeons, Traumatologists, and Geriatricians managing fragility fractures.
