Clinical Management and Future Perspectives in Osteoporosis and Fractures

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 25 July 2024 | Viewed by 454

Special Issue Editor


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Guest Editor
Sant’Andrea Hospital, Sapienza University of Rome, Rome, Italy
Interests: geriatrics

Special Issue Information

Dear Colleagues,

Osteoporosis is a common condition characterized by low bone density and an increased risk of fractures. Bone fracture may be the result of impact or stress, or could be a result of certain medical conditions that weaken the bones, such as osteoporosis.

This Special Issue covers a range of topics related to the clinical management of osteoporosis, including the latest advancements in diagnosis, treatment, and prevention strategies. It also explores the impact of osteoporosis on fracture risk and the management of orthopedic trauma in elder patients. Additionally, this Special Issue delves into future perspectives in the field, including emerging therapies, novel diagnostic techniques, and potential advancements in personalized medicine.

We look forward to receiving submissions from medical practitioners from a wide range of backgrounds to provide a comprehensive overview of this important topic.

Dr. Laura Tafaro
Guest Editor

Manuscript Submission Information

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Keywords

  • osteoporosis
  • fracture
  • aging
  • bone loss and fracture risk
  • prevention strategies
  • bone metabolism
  • vitamin D deficiency

Published Papers (1 paper)

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Research

13 pages, 465 KiB  
Article
Exploring Quality of Life and Mortality in Pertrochanteric Fragility Hip Fractures in Northern Greece: A Single Tertiary Center Study
by Panagiotis Konstantinou, Lazaros Kostretzis, Georgios Fragkiadakis, Panagiota Touchtidou, Argyrios Mavrovouniotis, Vasileios Davitis, Athina Zacharoula Ditsiou, Ioannis Gigis, Anastasios P. Nikolaides, Dimitris Niakas, Pericles Papadopoulos and Konstantinos Ditsios
J. Clin. Med. 2024, 13(9), 2478; https://doi.org/10.3390/jcm13092478 - 24 Apr 2024
Viewed by 309
Abstract
Background: Fragility-related pertrochanteric fractures have become a significant public health concern, with a rising incidence attributed to the expanding elderly demographic. Assessing patient-reported health-related quality of life (HRQoL), mortality, and factors correlated with them serves as a crucial metric in evaluating the effectiveness [...] Read more.
Background: Fragility-related pertrochanteric fractures have become a significant public health concern, with a rising incidence attributed to the expanding elderly demographic. Assessing patient-reported health-related quality of life (HRQoL), mortality, and factors correlated with them serves as a crucial metric in evaluating the effectiveness of hip fracture surgery. Methods: In a single-center retrospective study, 259 patients underwent surgical treatment with a cephalomedullary nail, with a mean follow-up of 21.7 months. Health-related quality of life (HRQoL) was assessed using SF-12 (12-item Short Form) and EQ-5D (EuroQoL-5 Dimensions) questionnaires. Mobility status was measured by the Crude Mobility Index (CMI). Surveys were administered during hospitalization and six months postoperatively. Statistical analysis involved descriptive statistics, non-parametric controls (Kendall, Mann-Whitney, and Wilcoxon), and Spearman correlation and logistic regression analysis, which were conducted using IBM SPSS version 28. Results: A statistically significant decrease was observed in the mean EQ-5D and SF-12 scores at 6 months post-op compared to the pre-fracture status. The ASA (American Society of Anaesthesiologists) score showed a significant correlation with the decrease in HRQoL measured by the SF-12 questionnaire. The 30-day post-operative mortality rate was 9.3%, increasing to 32.4% at 1 year. Notably, the 30-day mortality significantly rose during the pandemic era (5.0% vs. 12.0%; p = 0.003). Conclusions: Pertrochanteric hip fractures cause a lasting decline in quality of life. Annual mortality is high, and further investigations are needed to formulate policies that prevent hip fractures and reduce mortality rates. Full article
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