Description
Osteoporosis is the most common bone disease and is associated with pathological fractures that can lead to significant morbidity. It represents an economic burden to the health care system, directly linked to an ageing population. Guidelines on osteoporosis prevention have been published but these do not provide the required specialised knowledge
Table of Contents
Definitions. Epidemiology. Pathogenesis: molecular mechanisms. Diagnosis: biochemical investigations. Diagnosis: radiological investigations. Development of a liaison fragility service. Prevention and treatment of osteoporosis: an overview. The role of antiresorptives. The role of anabolic agents. Other pharmacological agents. Can we accelerate the fracture healing response? Complications of medical treatment: systemic. Complications of medical treatment: local (atypical fractures). Current guidelines for medical treatment. Monitoring/surveillance of medical treatment. Surgical treatment of osteoporosis: Principles of management. Proximal femoral fractures. Distal femoral fractures. Proximal humeral fractures. Long bone fractures. Pelvic fractures. Acetabulum fractures. Spinal fractures. The role of bone graft substitutes. Complications of surgical treatment: Principles of management. Total hip replacement. Total knee replacement. Total shoulder replacement. Rehabilitation of the osteoporotic patient. Future directions
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