CAJ | 학술논문

People expect and hope orthopedic surgeons to deal with the challenge of osteoporosis successfully, which is also an unavoidable public health problem for orthopedic surgeons. They should focus on improving the conditions of patients with osteoporosis and treating osteoporotic fractures more aggressively. Currently, the clinical diagnostic criteria for osteoporosis are stated as following. ( 1 ) Fragility fractures;( 2 ) The measurement of bone mineral density by Dual-energy X-ray absorptiometry ( DXA ). “Primary osteoporosis” and “secondary osteoporosis”should be differentiated. The key points of the surgical intervention for osteoporotic fractures are stated as following. ( 1 ) Make an assessment of the patients’ general conditions before, during and after the operation, and make adjustment and correction to improve the operation safety;( 2 ) Choose a simple and safe surgical procedure, and focus on functional recovery but not anatomical reduction, which is beneficial for patients to ambulate early;( 3 ) Improve implants and surgical techniques to increase the holding force; ( 4 ) Pay attention to postoperative rehabilitation;( 5 ) Use anti-osteoporosis drugs correctly and rationally to aggressively treat osteoporosis during the perioperative period and in the long-term management process after the fractures.