Abstract：
OBJECTIVE:The aim of this study was to report the prevalence of post-fracture bone mineral density (BMD) testing and osteoporosis treatment in patients admitted to the orthopedic department for low-energy or high-energy fractures and to identify factors affecting prevalence of post-fracture BMD testing and osteoporosis treatment. METHODS:A total of 265 patients aged 45 years or older admitted with low-energy or high-energy fractures were reviewed between January 2010 and May 2011. Information regarding age, gender, fracture site and history of post-fracture BMD testing and osteoporosis treatment, including data reporting experiences of attending orthopedists (young: <10, senior: >10 years of experience) were recorded. RESULTS:Of the 265 patients (175 female, 90 male), 259 (97.7%) patients had low-energy fractures and 6 (2.3%) suffered high-energy fractures. Of 259 low-energy fractures, 99 (38.2%) underwent BMD testing and had mean total T-scores of -2.04±1.01 (proximal-femur) and -2.12±1.27 (lumbar-spine). Only one high-energy fracture patient (16.7%) underwent BMD testing, with a T-score of -1.1 (proximal-femur) and -2.7 (lumbar-spine). Eighty-six (32.5%) patients (85 low-energy fractures; 1 high-energy fracture) with diagnosis of osteopenia/osteoporosis from BMD testing were treated with calcium, vitamin D, and bisphosphonates. Bone mineral density testing was significantly higher in low-energy fracture patients who were treated by a young orthopedist, a common fracture site (proximal-femur, distal-radius, vertebrae) or were female (p<0.05). CONCLUSION:Bone mineral density investigation and treatment rates are currently suboptimal. The current gap in adequate care necessitates multidisciplinary intervention in order to lessen the incidence of future fractures, particularly in patients over the age of 45.
journal_name
Acta Orthop Traumatol Turcjournal_title
Acta orthopaedica et traumatologica turcicaauthors
Angthong C,Rodjanawijitkul S,Samart S,Angthong Wdoi
10.3944/aott.2013.3065subject
Has Abstractpub_date
2013-01-01 00:00:00pages
318-22issue
5eissn
1017-995Xissn
2589-1294journal_volume
47pub_type
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journal_title：Acta orthopaedica et traumatologica turcica
pub_type： 杂志文章,随机对照试验
doi：10.3944/aott.2012.2749
更新日期：2012-01-01 00:00:00
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journal_title：Acta orthopaedica et traumatologica turcica
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doi：10.3944/aott.2012.2592
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更新日期：2002-01-01 00:00:00
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journal_title：Acta orthopaedica et traumatologica turcica
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doi：10.3944/AOTT.2014.3264
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journal_title：Acta orthopaedica et traumatologica turcica
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更新日期：2002-01-01 00:00:00
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journal_title：Acta orthopaedica et traumatologica turcica
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更新日期：2004-01-01 00:00:00
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journal_title：Acta orthopaedica et traumatologica turcica
pub_type： 杂志文章
doi：10.3944/AOTT.2010.2240
更新日期：2010-01-01 00:00:00
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更新日期：2003-01-01 00:00:00
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pub_type： 杂志文章
doi：10.3944/AOTT.2010.2400
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journal_title：Acta orthopaedica et traumatologica turcica
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doi：10.3944/AOTT.2010.2275
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journal_title：Acta orthopaedica et traumatologica turcica
pub_type： 杂志文章
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doi：10.3944/AOTT.2014.14.0040
更新日期：2014-01-01 00:00:00
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pub_type： 杂志文章
doi：
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journal_title：Acta orthopaedica et traumatologica turcica
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journal_title：Acta orthopaedica et traumatologica turcica
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更新日期：2015-01-01 00:00:00
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doi：10.3944/AOTT.2014.2859
更新日期：2014-01-01 00:00:00
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journal_title：Acta orthopaedica et traumatologica turcica
pub_type： 杂志文章
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更新日期：2019-01-01 00:00:00
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journal_title：Acta orthopaedica et traumatologica turcica
pub_type： 杂志文章
doi：10.3944/AOTT.2010.2382
更新日期：2010-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2019-11-01 00:00:00
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pub_type： 杂志文章
doi：10.3944/AOTT.2015.14.0287
更新日期：2016-01-01 00:00:00
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journal_title：Acta orthopaedica et traumatologica turcica
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更新日期：2009-03-01 00:00:00
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doi：
更新日期：2006-01-01 00:00:00
