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Acta ortopédica mexicana
versión impresa ISSN 2306-4102
Resumen
GARZA-DE ZAMACONA, R et al. Risk of refracture according to the FRAX score in patients older than 50 years who suffer a fracture by a low-impact mechanism. Acta ortop. mex [online]. 2022, vol.36, n.5, pp.292-296. Epub 15-Ene-2024. ISSN 2306-4102. https://doi.org/10.35366/111163.
Introduction:
as the population pyramid inverts, we’ll see more old patients suffering a fracture secondary to a low impact mechanism and not all hospitals have a densitometer to make a definitive diagnosis. Nevertheless, we have clinical tools that can help us to start an early treatment.
Objective:
to recognize the risk of re-fracture of patients older than 50 years in our population.
Material and methods:
we included all patients older than 50 that suffered a low impact fracture in the Ángeles Mocel Hospital. We used Mexico FRAX score tool to determine de risk of suffering a fracture. The sample was divided in two groups. Utilizing p < 0.05 and a CI of 95%.
Results:
69 patients where included. 47.8% had past fractures and only 10% of those had preventive osteoporotic treatment. 50.7% of the patients have a high risk of suffering a mayor osteoporotic fracture in 10 years and 75% of suffering a hip fracture in 10 years. None of the patients received a treatment, either lifestyle modifiers or specific osteoporosis pharmacotherapy at hospital discharge.
Conclusion:
there is a deficiency in the early preventive management of osteoporosis in patients suffering a low impact fracture by orthopedic surgeons.
Palabras llave : osteoporosis; FRAX score; refracture risk.