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The Journal of Bone and Joint Surgery 81:1653-4 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Donald C. Fithian, M.D., Alexandra E. Page, M.D., Laura L. Tosi, M.D. and Joseph M. Lane, M.D.

TO THE EDITOR:

We thank Dr. Tosi and Dr. Lane for their rousing "Editorial. Osteoporosis Prevention and the Orthopaedic Surgeon: When Fracture Care Is Not Enough" (80-A: 1567–1569, Nov. 1998) and for their leadership in placing this important disease on the agenda of the American Academy of Orthopaedic Surgeons. The recent medical literature is replete with high-quality studies demonstrating reduced rates of fracture when preventive care is used for women who have risk factors for osteoporosis or its complications. Among the most prominent of these risk factors is a history of a previous osteoporotic fracture. Of all medical specialists, orthopaedists are perhaps best suited to identify patients who have an osteoporotic fracture. Given that we are in a position to prevent additional fractures, pain, disfigurement, and disability, are we not ethically obligated to go beyond treatment of the complication (the fracture) and to see to it that the disease itself . . . [Full Text of this Article]


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