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Pernille Bovbjerg Department of Orthopedic Surgery, Odense University Hospital, Odense, Denmark

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Ditte Høgh Department of Orthopedic Surgery, Hospital of Southern Denmark, Odense, Denmark

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Lonnie Froberg Department of Orthopedic Surgery, Odense University Hospital, Odense, Denmark

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Hagen Schmal Department of Orthopedic Surgery, Odense University Hospital, Odense, Denmark
Clinic of Orthopaedic Surgery, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

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Moustapha Kassem Department of Endocrinology, Odense University Hospital, Odense, Denmark

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. Reading the literature, these fractures have several synonyms and can be described as insufficiency fractures, fragility fractures, osteoporotic fractures or stress fractures. What they all have in common are fractures caused by low-energy trauma or no

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Nikolaos Patsiogiannis Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK

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Nikolaos K. Kanakaris Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK

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Peter V. Giannoudis Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK

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fragility fractures, has recently been highlighted. 37 Non-operative treatment of PPFs has been associated with poor outcomes (nonunions, malunions, medical complications) 38 except probably in cases of a critically ill patient unable to undergo

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Ioannis Ktistakis School of Medicine, University of Leeds, UK

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Vasileios Giannoudis School of Medicine, University of Leeds, UK

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Peter V. Giannoudis School of Medicine, University of Leeds; National Institute for Health Research, Leeds Biomedical Research Unit, Leeds, UK

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not recommended before surgery. If used should stop 24 h before surgery 3. Intermittent pneumatic compression devices Blue Book on Fragility Fracture Care, British Orthopaedic Association (BOA) 6 2007 Controversy over thromboprophylaxis

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David González-Martín Orthopedic Surgery and Traumatology Service, Hospital Universitario de Canarias, Tenerife, Spain
Universidad de La Laguna, Tenerife, Spain

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José Luis Pais-Brito Orthopedic Surgery and Traumatology Service, Hospital Universitario de Canarias, Tenerife, Spain
Universidad de La Laguna, Tenerife, Spain

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Sergio González-Casamayor Orthopedic Surgery and Traumatology Service, Hospital Universitario de Canarias, Tenerife, Spain

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Ayron Guerra-Ferraz Orthopedic Surgery and Traumatology Service, Hospital Universitario de Canarias, Tenerife, Spain

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Jorge Ojeda-Jiménez Orthopedic Surgery and Traumatology Service, Hospital Universitario de Canarias, Tenerife, Spain
Universidad de La Laguna, Tenerife, Spain

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Mario Herrera-Pérez Orthopedic Surgery and Traumatology Service, Hospital Universitario de Canarias, Tenerife, Spain
Universidad de La Laguna, Tenerife, Spain

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input should also be employed. The need to establish specific clinical pathways for fragility fractures, similar to those for other common fracture types, has recently become apparent ( 21 ). Given the increasing need for decision-making algorithms or

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Allan Roy Sekeitto Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Nkhodiseni Sikhauli Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Dick Ronald van der Jagt Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Lipalo Mokete Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Jurek R.T. Pietrzak Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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, a 2.5 times increased risk of non-hip-fragility fractures also exists. 55 , 56 Prevention of subsequent factures is mandatory and may be achieved by pharmacological and non-pharmacological methods. 54 , 55 There is support for routine

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Pablo Castillón Department of Trauma and Orthopaedic Surgery, Hospital, Universitari Mútua Terrassa, Terrassa, Barcelona, Spain
Universidad Autònoma de Barcelona (UAB), Bellaterra, Barcelona, Spain

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Josep Maria Muñoz Vives Department of Trauma and Orthopaedic Surgery, Hospital Althaia Manresa. Manresa, Barcelona, Spain
Department of Trauma and Orthopaedic Surgery, Hospital Nostra Senyora de Meritxell, Andorra

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Héctor José Aguado Department of Trauma and Orthopaedic Surgery, Hospital Clínico Universitario de Valladolid. Valladolid, Spain
Universidad de Valladolid, Valladolid, Spain

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Arantxa Capel Agundez Department of Trauma and Orthopaedic Surgery, Hospital Universitario 12 de Octubre, Madrid, Spain

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Alina Ortega-Briones Department of Trauma and Orthopaedic Surgery, Hospital Clínico Universitario de Valladolid. Valladolid, Spain

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Jorge Hassan Núñez Department of Trauma and Orthopaedic Surgery, Hospital, Universitari Mútua Terrassa, Terrassa, Barcelona, Spain
Universidad Autònoma de Barcelona (UAB), Bellaterra, Barcelona, Spain

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the PISCO Investigators †
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the PISCO Investigators

neck fixation when treating femoral diaphyseal fragility fractures, even though the treatment of peri-implant femoral neck fractures may be particularly challenging. Unanimous agreement was reached about retaining cephalo-medullary implants after

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Amer Sebaaly Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Maroun Rizkallah Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Falah Bachour Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Firas Atallah Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Pierre Emmanuel Moreau Department of Orthopedic Surgery, Centre Hospitalier Paris Saint Joseph, Paris, France

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Ghassan Maalouf Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Osteosynthesefragen (AO) classification. 6 OVF are associated with a greater impact on health-related quality of life than other fragility fractures. 4 Standard therapy of these fractures consists of rest, analgesia and mobilisation, and is often poorly

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Olga D. Savvidou First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, ‘ATTIKON’ University General Hospital, Athens, Hellenic Republic, Greece

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Panagiotis Koutsouradis Department of Orthopaedic Surgery, Mediterraneo Hospital, Athens, Greece

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Angelos Kaspiris Laboratory of Molecular Pharmacology/ Sector for Bone Research, School of Health Sciences, University of Patras, Patras 26504, Greece

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Leon Naar First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, ‘ATTIKON’ University General Hospital, Athens, Hellenic Republic, Greece

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George D. Chloros First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, ‘ATTIKON’ University General Hospital, Athens, Hellenic Republic, Greece

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Panayiotis J. Papagelopoulos First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, School of Medicine, ‘ATTIKON’ University General Hospital, Athens, Hellenic Republic, Greece

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Introduction Fractures of the olecranon account for about 10% of upper extremity fractures, 1 , 2 with the majority occurring in elderly patients. 1 , 3 Usually these fractures are displaced (Mayo type II and III), 4 due to

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Juan Ramón Cano Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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José Manuel Bogallo Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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Alicia Ramirez Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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Enrique Guerado Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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that, by the time of admission in the emergency room, has not caused hemodynamic instability. This concept, however, needs qualification for both the hemodynamics and the pelvic fracture. On the one hand, all patients presenting with hemorrhagic shock

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Thomas Tampere Department of Orthopaedic Surgery, Ghent University Hospital, Ghent, Belgium

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Matthieu Ollivier Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Christophe Jacquet Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Maxime Fabre-Aubrespy Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Sébastien Parratte Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France
Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE

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Introduction Complex epiphyseal knee fractures are rare. In contrast to the high incidence of femoral neck and proximal humerus fractures, epiphyseal knee fractures account only for up to 1% of annual emergency admissions. Furthermore, the sub

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