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2020 ; 21
(ä): 287-290
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Challenges and strategies in management of osteoporosis and fragility fracture
care during COVID-19 pandemic
#MMPMID32523258
Upadhyaya GK
; Iyengar K
; Jain VK
; Vaishya R
J Orthop
2020[Sep]; 21
(ä): 287-290
PMID32523258
show ga
BACKGROUND: COVID-19 has resulted in restriction of face to face consultations
and mechanisms to access health care. Osteoporosis and fragility fractures forms
a significant proportion of adult trauma and orthopaedic workload even during the
pandemic. AIMS: We assess the challenges and strategies used in the management of
osteoporosis and fragility fracture care during the COVID-19 pandemic. METHODS:
We have done a comprehensive review of the literature using suitable keywords on
the search engines of PubMed, SCOPUS, Google Scholar and Research Gate in the
first week of May 2020 on developments and guidance during the current COVID-19
pandemic. RESULTS: Osteoporosis and fragility fractures management has been
hampered by lock down and infection transmission strategies used to contain the
COVID-19 pandemic. Access to diagnostic tests, treatment facilities with the need
to use clinical and prediction tools to guide management Telemedicine has an
evolving role. CONCLUSION: Osteoporosis and fragility fractures in elderly
individuals pose a real challenge for an appropriate diagnosis and management,
during the COVID-19 pandemic. A clinical decision along with use of clinical
prediction tools for osteoporosis should be used to direct treatment. Obligatory
fractures such as hip fractures require operative intervention. Non-obligatory
fractures such as distal radius fractures can be managed conservatively with use
of telemedicine applications in monitoring both types of patients.