Osteoporosis is the most common condition contributing to 95% of fractures in patients who are over 75 years of age and hospitalized for treatment of a fracture, and 80–90% of those in patients who are 60–74 years of age. Osteoporosis typically occurs 10 years later in men than in women.
This is an algorithm for the treatment of osteoporosis in postmenopausal women after a fragility fracture and is based on an article published in the Archives of Orthopaedic and Trauma Surgery in 2013. This algorithm is useful for nearly all cases (both women and men), and you may expect sufficient recommendations in more than 90% of all cases. However, there are some patients who require management by an endocrinologist, metabolic bone specialist, or specialized service. Our tools may help to increase the rate of patients receiving appropriate osteoporosis treatment and reduce the rate of subsequent fractures. The decision of treatment and the choice of medication remain the responsibility of the physician. This algorithm is not able to consider all circumstances in every case (eg, allergies, gastrointestinal problems, carcinoma).