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Stumpf, Ulla; Kraus, Moritz; Gosch, Markus; Hesse, Eric and Kammerlander, Christian (2021): Fracture liaison service (FLS): Ein strukturiertes Versorgungskonzept für eine optimierte Sekundärprävention von osteoporotischen Frakturen. In: Osteologie, Vol. 30, No. 2: pp. 140-144

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Abstract

Osteoporosis, a systemic skeletal disease, is associated with older age and affects both men and women. As consequences of osteoporosis, fragility fractures may occur after inadequate trauma. Index fractures are fractures of the distal forearm, proximal humerus, pelvic ring, proximal femur, or vertebral fractures. The risk of suffering from a subsequent fracture within one year is significantly increased and, especially in the case of the proximal femur fracture, is also associated with a reduction in mobility and quality of life as well as an increase in morbidity and mortality. This demonstrates the need for an adequate treatment of these patients. Although orthopedic surgery plays an important role, diagnosis and early treatment of osteoporosis is crucial. Long-term care of these patients requires an optimization of the interface between the hospital and private practices. This can be provided by a fracture liaison service (FLS), which is coordinated by a trained nurse ('FLS-nurse'). To have this intersectoral care becoming part of standard care, we initiated the 'FLS Care Program' as part of a study financed by the German government's Innovation Fund. The aim is to continue ensure an intersectoral care of osteoporosis patients to prevent subsequent fractures and maintain quality of life.

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