of the Femoral Shaft and Patella的股骨和髌骨骨折ppt课件.pptVIP

Kenneth J. Koval, MD Laura Tosi, MD AOA Committee for the Own the Bone Pilot ProjectCreated February 2007; Revised March 2011 ;Prevalence;Source: National Osteoporosis Foundation;Wrist Fractures: 200,000+;$14 billion annually;Burden of Disease;What’s the link? Fragility fractures Fractures of the distal radius, proximal humerus, vertebrae and proximal femur that result from minimal trauma, such as a fall from a standing height. Up to 95% of hospitalized fracture inpatients over 75 years of age, and 80%-90% of fractures in patients between 60 and 74 years of age can be attributed to osteoporosis. ;40% of postmenopausal women and ~25-33% of men will eventually experience osteoporotic fractures. ~20 percent of senior citizens who suffer a hip fracture die within a year Risk of mortality is 2.8-4 times greater among hip fracture patients during the first 3 months after the fracture Nearly 1 in 5 hip fracture patients ends up in a nursing home within a year ;Fractures cost $18 billion/year and expected to increase if action is not taken. ;Risk Factors for Osteoporosis;Risk Factors for Osteoporosis;Risk Factors for Osteoporosis;Risk Factors for Osteoporosis;Risk Factors for Osteoporosis;Ethnicity Osteoporosis;Ethnicity Osteoporosis;Ethnicity Osteoporosis;Ethnicity Osteoporosis;Underdiagnosed ;Men Osteoporosis;Risk Factors for Fragility Fractures;Fractures beget Fractures;Diagnosis: Bone Densitometry;Goals Prevent future fractures Treat osteoporosis Decrease the risk of mortality after fractures;Calcium and Vitamin D;There is a high prevalence of vitamin D insufficiency in: Nursing home residents Hospitalized patients Adults with hip fractures;2. Exercise;3. Fall Prevention;4. BMD/DXA Testing;5. Cessation of smoking;6. Pharmacotherapy – Treatment prevention; ;Source: Bamias A. Osteonecrosis of the jaw in cancer after treatment with bisphosphonates: incidence and risk factors. J Clin Oncol 2005;23(34):8580-7. ;A man with a hip fracture has a