By E. M. C. Lau, P. C. Leung (auth.), Karl Obrant (eds.)
Over the earlier decade, significant advances have taken position within the administration of osteoporosis. Newdasses of pharmaceutical brokers were built, proven, and used to regard thousands of sufferers; schooling and early detection courses were instituted worldwide; and bone densitometry has bought common reputation via healthcare organizations as being significant to the preven tive overall healthiness procedure essential to deal with an getting older inhabitants. With these types of advances, scientists proceed to discover new the right way to comprehend and deal with this disorder. the sector of orthopaedic surgical procedure has a good chance to deliver this new info to its dinics and working rooms. it truly is seriously impor tant that the working towards health practitioner be armed with this data. Fractures are dearly the commonest orthopaedic challenge linked to osteoporosis. The objectives of remedy are speedy recovery of mobilityand func tion and go back of sufferers to a degree of job that helps their basic healthiness. the power to manage the metabolic situation or to regard the less than mendacity reason behind the osteoporosis with pharmacological intervention willimprove surgical effects. in addition, the specified concepts required to reach the operative remedy of bone, that is already weakened by way of osteoporosis, has to be rigorously built, demonstrated, and understood. This publication presents the 1st try to convey this physique of knowledge to the orthopaedic general practitioner in a dearly equipped and complete approach. traditionally, few orthopaedic surgical procedure or trauma education courses have provided a lot within the method of schooling within the technological know-how of bone metabolism.
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Additional resources for Management of Fractures in Severely Osteoporotic Bone: Orthopedic and Pharmacologic Strategies
Berard A, Bravo G, Gauthier P. Meta-analysis of the effectiveness of physical activity for the prevention ofbone loss in postmenopausal women . Osteoporos Int 1997;7:331-337. Glazener CM, Sargood AJ, [ackson PC, et al. Osteoporosis and amenorrhea in young women . Gynecol Endocrinol 1987;1:255-261. Kiel DF, Felson DT, Anderson J], Wilson FWF, Moskowitz MA. Hip fracture and the use of estrogens in postmenopausal women: The Framingham Study. N Engl J Med 1987;317:1169-1174. Ensrud KE, Cauley J, Lipschutz R, Cummings SR.
Physical fitness is a major determinant of femoral neck and lumb ar spine bone mineral density. J Clin Invest 1986;78:618-621. Berard A, Bravo G, Gauthier P. Meta-analysis of the effectiveness of physical activity for the prevention ofbone loss in postmenopausal women . Osteoporos Int 1997;7:331-337. Glazener CM, Sargood AJ, [ackson PC, et al. Osteoporosis and amenorrhea in young women . Gynecol Endocrinol 1987;1:255-261. Kiel DF, Felson DT, Anderson J], Wilson FWF, Moskowitz MA. Hip fracture and the use of estrogens in postmenopausal women: The Framingham Study.
3 Assessing Bone Mass by X-ray Absorptiometry: The WHO Definition of Osteoporosis M. McClung Introduction The ability to measure bone mass in both peripheral and central skeletal sites with accuracy and precision has been one of the most significant advances in the field of osteoporosis. Bone density is related to bone strength in both animals and in vitro. The original measurements obtained by photon absorption techniques have evolved into today's technology using dual-energy X-ray absorptiometry (DXA).