Fragility fractures are those that are caused by low-impact trauma, that is, blows that would not normally generate a fracture in a healthy person.
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They appear before daily activities such as prolonged stretching when hanging clothes, even that which occurs on the wrist with a simple slip, explains Dr. Adriana Medina Orjuela, an endocrinologist who is an expert in osteoporosis.
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The real problem with this type of fracture is that it shows that the quality of the bone is already severely impaired. This specific type of fracture is caused by bone fragility, mainly due to a silent epidemic: osteoporosis, an asymptomatic disease that progressively makes the bone porous and fragile.
The main fragility fractures occur in the hip , wrist, humerus and spine. From these incidents, the consequences of osteoporosis will be evident for patients, families and the health system, since they generate disability, decreased quality of life and, of course, mortality.
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It seems incredible, but many doctors in primary care do not know the correct treatments or promote prevention measures; For this reason, the Colombian Association of Osteoporosis and Metabolism (Acomm) makes permanent calls and trainings so that the population knows that the treatments are effective and that densitometry is a key preventive test.
However, these fractures They are not usually prioritized in health systems, which ends up increasing the risk of a second fracture.
The research ‘Characteristics clinics and the impact of treatment on fragility fractures in Colombia’ featured the participation of prominent medical researchers, including doctors Adriana Medina Orjuela, Óscar Rosero and Geraldine Altamar, members of the Colombian Association of Osteoporosis and Mineral Metabolism, the highest body in Colombia to treat osteomuscular health issues.
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The article was published last year in the prestigious medical journal Journal Of Gerontology And Geriatrics , but no information was known in the Colombian media. Ten hospitals from the cities of Bogotá, Medellín, Cali and Manizales participated in this study.
The results show that although 39% of patients who participated already had a reported fragility fracture, only 7% had received a specific treatment for osteoporosis, the others were only being treated with calcium and vitamin D. In addition, it was found that the most frequent fracture in patients is the hip.
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After a year of observation and follow-up of patients who had suffered a fracture, the study confirms that thanks to the centers where there are programs that treat these injuries, 76% of patients They went to surgery in a period of 1 to 5 days, which is really favorable because it reduces the time to treat a fracture, especially those who arrive with broken hip bones, “and this radically influences costs for the health system, times and recovery prognosis,” explains Dr. Adriana Medina Orjuela, one of the doctors who led the investigation.
“Another important finding is that the percentage of patients who needed adequate treatment for osteoporosis was 7 percent, but thanks to specialized centers in this pathology increased by 43 percent, which ends up being very favorable” explains Dr. Geraldine Altamar, a specialist in internal medicine and geriatrics.
When patients are alerted to suffering a second fracture, the probability of that happens is 86 percent, but in the study carried out it was shown that if an adequate treatment is carried out for osteoporosis, then it is reduced by 80 percent.
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In addition to reducing mortality by 9 percent, compared to the world average figure. Osteoporotic fracture prevention programs favor the start of treatment to prevent subsequent fractures, reduce mortality and improve the quality of life of patients.
In this sense, a correct anti-osteoporosis pharmacological treatment, the establishment of Certain hygienic-dietary habits, avoiding smoking and alcohol consumption, and physical rehabilitation are the factors that best influence when it comes to achieving a complete recovery of the patient.
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Prevention to avoid a second fracture should be a priority for public health because fractures due to bone fragility are a burden for patients and health systems.
Alarming figures
• Fragility fractures are common : one in three women and one in c every five men over the age of 50 will suffer them.
• In the world, one person suffers an osteoporotic fracture every three seconds and a vertebral fracture every 22 seconds.
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• Only one in three spinal fractures receives medical attention.
• Fragility fractures are common: one in three women and one one in five men over the age of 50 will suffer them.
• In the world one person suffers an osteoporotic fracture every three seconds and a vertebral fracture every 22 seconds.
• Only one in three spinal fractures, receives medical attention.
• 80% of patients who are discharged from a health care institution after overcoming an osteoporotic fracture do not receive any recommendations to prevent new fractures.
• Osteoporosis causes a higher mortality rate than cardiovascular disease.
• Nearly 200 million is of people around the world suffer from osteoporosis.
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• Studies have provided evidence that nutritional status and dietary calcium and protein intake in childhood are determinants of bone mass in adulthood.
• Epidemiological evidence suggests that engaging in physical activity reduces hip fractures in women and men.
80% of patients who are discharged from a health care institution after overcoming an osteoporotic fracture do not receive any recommendations to prevent new fractures.
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Tips to avoid fractures at home
Tips to avoid fractures at home:
1. Avoid leaving toys, shoes, cables and similar objects on the floor so that no older adult trips over them.
2. Make sure no furniture is blocking the way.
3. Stay in comfortable shoes and check that the laces are securely fastened.
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4. It is recommended that all areas of the home have good lighting.
5. Be careful with rugs at home as they can cause accidents.
6. Be careful when going up and down the stairs.
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