Bone Health Optimization: Beyond Own the Bone: AOA Critical Issues

The Journal of Bone and Joint Surgery. American Volume
Paul A AndersonNeil C Binkley

Abstract

Worldwide, osteoporosis management is in crisis because of inadequate delivery of care, competing guidelines, and confusing recommendations. Additionally, patients are not readily accepting the diagnosis of poor bone health and often are noncompliant with treatment recommendations. Secondary fracture prevention, through a program such as Own the Bone, has improved the diagnosis and medical management after a fragility fracture. In patients who undergo elective orthopaedic procedures, osteoporosis is common and adversely affects outcomes. Bone health optimization is the process of bone status assessment, identification and correction of metabolic deficits, and initiation of treatment, when appropriate, for skeletal structural deficits. The principles of bone health optimization are similar to those of secondary fracture prevention and can be initiated by all orthopaedic surgeons. Patients who are ≥50 years of age should be assessed for osteoporosis risk and, if they are in a high-risk group, bone density should be measured. All patients should be counseled to consume adequate vitamin D and calcium and to discontinue use of any toxins (e.g., tobacco products and excessive alcohol consumption). Patients who meet the criteria for p...Continue Reading

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Citations

Jan 25, 2020·The Journal of Bone and Joint Surgery. American Volume·Aamir KadriPaul A Anderson
May 29, 2020·Journal of Biomolecular Structure & Dynamics·John Marshal JayarajKarthikeyan Muthusamy
Apr 14, 2020·The Journal of Bone and Joint Surgery. American Volume·Michael A MontLynne C Jones
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Mar 31, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Jihyo HwangJoshua A Parry
Apr 9, 2021·The Journal of Bone and Joint Surgery. American Volume·Andrew J CozaddJulie A Switzer
Apr 20, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Markus GoschMichael Cunningham
Jul 2, 2021·Arthroscopy, Sports Medicine, and Rehabilitation·Eric J CotterBrian F Grogan
Jul 1, 2021·The Journal of Bone and Joint Surgery. American Volume·Paul A AndersonJulie A Switzer

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