• Vol. 42 No. 10, 541–544
  • 15 October 2013

Secondary Fracture Prevention: Plucking The Low Hanging Fruit



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It is well known that one fragility fracture begets another. Fracture Liaison Services have been shown to narrow the care gap that exists in the care of patients with fragility fractures. A secondary fracture prevention programme “OPTIMAL” (Osteoporosis Patient Targeted and Integrated Management for Active Living) has been in existence in the public restructured hospitals and polyclinics of Singapore since 2008 and this is beginning to show significant beneficial results in terms of identification and management of fragility fractures. However, significant obstacles in the path of appropriate management of the patient with a fragility fracture still exist. A concerted, multipronged and interdisciplinary approach is needed to overcome these barriers.

“Osteoporosis care of fracture patients has been
characterized as the Bermuda Triangle made up
of orthopaedists, primary care physicians and
osteoporosis experts into which the fracture
patient disappears”
One in 2 women and 1 in 5 men will suffer an osteoporotic
fragility fracture in their lifetime. This imposes a significant
economic burden amongst societies. The magnitude of
this burden is expected to increase exponentially and is
going to be maximally felt in Asia with its rapidly ageing
population. The oft quoted statistic that half of all hip
fractures worldwide will occur in Asia by the year 2050 is
not something that can be taken lightly.

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