Abstract

MURILLO, Bernardo; ALLENDE NORES, Christian A  and  RODRIGUEZ, Orlando. Incidencia de diagnóstico y tratamiento de la osteoporosis en pacientes con fractura de radio distal. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2019, vol.84, n.2, pp.99-104. ISSN 1852-7434.

Introduction: Distal radius fractures in elderly patients are an indicator of osteoporosis. The aim of this study was to determine osteoporosis diagnosis and treatment rates in patients with distal radius fractures treated surgically at our institution between 2012 and 2014. Methods:Information of 41 patients who underwent surgical intervention for distal radius fracture was obtained through telephone interviews. There were several variables evaluated-age, sex, smoking, comorbidities, previous fractures, preoperative and postoperative osteoporosis treatments, specialty of the physicians prescribing osteoporosis treatment, and a DEXA scan performed. Results: The study included 41 patients (32 women). Twenty-six of them had a DEXA scan performed before the fracture (15 patients evidenced osteoporosis), 11 had suffered previous fractures secondary to osteoporosis. Only 7 patients were under osteoporosis treatment at the moment of the fracture. After surgery, only 4 patients continued treatment. Pathological DEXA scan results had certain degree of association with the presence of type 2 diabetes, but not with other comorbidities. The annual incidence rate of osteoporosis, calculated using all patients served at our institution in 2014, was about 1%. Orthopedic surgeons accounted for only 1.5% of the total number of DEXA scans prescribed that year. Conclusions: Our study suggests that there is poor prevention by orthopedic surgeons of secondary osteoporotic fractures, which is why a national prevention protocol for fractures secondary to osteoporosis would be necessary.

Keywords : Osteoporosis; DEXA; Distal radius fractures.

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