The role of the fracture liaison service in the prevention of atypical femoral fractures.
atypical femoral fractures
bisphosphonate
drug holiday
fracture liaison service
fragility fractures
prevention
Journal
Therapeutic advances in musculoskeletal disease
ISSN: 1759-720X
Titre abrégé: Ther Adv Musculoskelet Dis
Pays: England
ID NLM: 101517322
Informations de publication
Date de publication:
2023
2023
Historique:
received:
16
03
2023
accepted:
29
09
2023
medline:
30
11
2023
pubmed:
30
11
2023
entrez:
30
11
2023
Statut:
epublish
Résumé
Osteoporosis and fragility fractures (FFs) are considered critical health problems by the World Health Organization (WHO) because of high morbidity, mortality, and healthcare costs. The occurrence of a FF raises the risk of a subsequent fracture (refracture). The hip is the most common site of fragility refracture, and its onset is associated with a further increase in patient's morbidity, mortality, and socioeconomic burden. Therefore, the prevention of refracture is essential. In this context, fracture liaison service (FLS) demonstrated to be able to reduce FF risk and also improve patients' adherence to anti-osteoporotic treatments, particularly for bisphosphonates (BPs). However, long-term and high adherence to BPs may lead to atypical femoral fractures (AFFs). These latter are tensile side stress fractures of the femur, with high rates of complications, including delayed and non-healing. An effective FLS should be able to prevent both FF and AFF. A comprehensive and interdisciplinary approach, through the involvement and education of a dedicated team of healthcare professionals (i.e. orthopedic, geriatrician, primary care physician, rehabilitation team, and bone nurse) for evaluating both FF and AFF risks might be useful to improve the standard of care.
Identifiants
pubmed: 38035253
doi: 10.1177/1759720X231212747
pii: 10.1177_1759720X231212747
pmc: PMC10685792
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
1759720X231212747Informations de copyright
© The Author(s), 2023.
Déclaration de conflit d'intérêts
UT serves on the Advisory Board for Abiogen, AMGEN, and Eli-Lilly. GI serves on the Advisory Board for UCB Pharma, AMGEN, and Eli-Lilly. The other authors declare that there is no conflict of interest.
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