Authors: Adele L Boskey
Publish Date: 2014/08/21
Volume: 472, Issue: 11, Pages: 3533-3535
Abstract
Most orthopaedic surgeons recognize that the elderly heal their fractures more slowly than younger individuals but the explanation for why this might be and whether fracture healing in the elderly can be improved has rarely been investigated This question is important as after the first fragility fracture the probability of additional fractures is markedly increased 6 Despite data suggesting that osteoporosis is not an immediate consequence of aging 1 the elderly in general have reduced bone mass and more porous bones 10 This situation leads to a vicious cycle as the elderly have a greater tendency to have fragility fractures and these fractures heal more slowly causing decreased weight bearing which leads to bone with even more reduced mass and greater porosity The elderly also tend to exercise less 9 leading to reduced muscle strength increased risk of falling and fragility fractures While a variety of environmental and inherited factorsThe author certifies that she or any member of his immediate family has no funding or commercial associations eg consultancies stock ownership equity interest patent/licensing arrangements etc that might pose a conflict of interest in connection with the submitted article
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