Effectiveness in delivering the message is greatly enhanced following the sentinel fragility fracture whether it be distal radius, hip, or spine. The treating orthopedic surgeon has the full attention of the injured patient who can be steered into osteoporosis screening programs and ultimately treatment. Studies in Canada have shown that if the surgeon initiates the process by so much as ordering the bone densitometry exam the patient is more likely to get treatment for their underlying disease than if it is just suggested that the patient see their medical doctor at some future date. The patient takes the cue from the surgeon. Patient compliance goes up and the treatment is instituted.
We as surgeons must be part of the solution. This has been emphasized in the worldwide efforts in orthopedic surgery such as the “Bone and Joint Decade” and “Own the Bone” programs. This commitment to bone health and restoration is important. Our patients deserve no less.