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Fracture services and bone health: changing times for core services

The mortality and morbidity burden attributable to fragility fractures from osteoporosis is well established, yet less than one third of these patients receive bone-protecting treatments and interventions. In this article, Dr Madhavi Vindlacheruvu looks at how osteoporosis services can be rebuilt and reset following the Covid-19 crisis.

Osteoporosis is a disease characterised by low bone mass and structural deterioration of bone tissue leading to an increase in bone fragility and susceptibility to fracture. It is a progressive and asymptomatic disease that usually presents only after a fracture has occurred. Over three million people in the UK have osteoporosis affecting one in two women compared to one in five men. The prevalence of osteoporosis increases with age from 2% at 50 years to more than 25% at 80 years in women. Women also experience increased bone loss after menopause. Fragility fractures are extremely common in individuals aged over


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