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George D Chloros Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, UK
Orthopaedic Surgery Working Group, Society of Junior Doctors, Athens, Greece

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Christos D Kakos Orthopaedic Surgery Working Group, Society of Junior Doctors, Athens, Greece

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Ioannis K Tastsidis Orthopaedic Surgery Working Group, Society of Junior Doctors, Athens, Greece
University of Patras, School of Medicine, Patras, Greece

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Vasileios P Giannoudis Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, UK

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Michalis Panteli Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, UK

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Peter V Giannoudis Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, UK
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK

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in that group they should be considered as early fragility fractures and warrant metabolic workup ( 3 ). Complications Although surgical outcomes are widely successful ( 6 , 13 , 36 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 80 , 94

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Andrew J Harrison Bioventus International, Taurusavenue, Hoofddorp, Netherlands

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Michael R Redler Connecticut Orthopaedics, Department of Orthopaedics, University of Virginia, Frank H. Netter School of Medicine, Quinnipiac University, USA

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David M Taylor Leeds General Infirmary, Leeds, UK

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Ansar Mahmood Department Trauma & Orthopaedic Surgery, Queen Elizabeth Hospital, Birmingham, UK

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John T Jones Statistician - Raleigh, NC

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Yukihiro Arai Department of Orthopaedic Surgery, Teikyo University School of Medicine

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Yoshinobu Watanabe Department of Orthopaedic Surgery, Teikyo University School of Medicine

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Introduction Fracture incidence is common, with over one million fractures occurring each year in the United Kingdom alone ( 1 ). However, failure to heal a fracture is rare, with Zura et al. ( 2 ) reporting a non-union rate of just 4.9% in

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Pelle V Wall University of California San Diego School of Medicine, Gilman Drive, La Jolla, California, United States of America

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Brendon C Mitchell Department of Orthopaedic Surgery, University of California San Diego, West Arbor Drive, California, United States of America

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Canhnghi N Ta Department of Orthopaedic Surgery, University of California San Diego, West Arbor Drive, California, United States of America

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William T Kent Department of Orthopaedic Surgery, University of California San Diego, West Arbor Drive, California, United States of America

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Isolated operative fragility hip fracture, ≥65 years 459 19.8% 39.0% Saliba et al . ( 39 ) RCS Operative hip fracture, ≥65 years 3418 7.2% 4.8% Tarrant et al. ( 28 ) RCS Hip fracture, ≥65 years 3264 3

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Mabua A. Chuene Arthroplasty Unit, CMJAH, University of the Witwatersrand, Johannesburg, South Africa

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Jurek R.T. Pietrzak Arthroplasty Unit, CMJAH, University of the Witwatersrand, Johannesburg, South Africa

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Allan R. Sekeitto Arthroplasty Unit, CMJAH, University of the Witwatersrand, Johannesburg, South Africa

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Lipalo Mokete Arthroplasty Unit, CMJAH, University of the Witwatersrand, Johannesburg, South Africa

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Introduction The burden of fragility fractures is on the rise due to the rapid increase in the ageing population. 1 – 4 Approximately 1.6 million hip fracture cases are reported worldwide each year and the number is projected to climb to

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Rafik Yassa North West Deanery, Manchester, UK

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Mahdi Yacine Khalfaoui North West Deanery, Manchester, UK

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Ihab Hujazi North West Deanery, Manchester, UK

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Hannah Sevenoaks North West Deanery, Manchester, UK

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Paul Dunkow Blackpool Victoria Teaching Hospitals, Blackpool, UK

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Results Guidance 2012–2013 . https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/216212/dh_133585.pdf ( date last accessed 29 August 2017 ). 11 No authors listed . The care of patients with fragility fracture . British

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Ioannis V. Papachristos Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, UK

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Peter V. Giannoudis Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, UK
NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, Leeds, UK

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survival after hip fracture? Clin Orthop Relat Res 2017 ; 475 : 273 – 279 . 22. The British Orthopaedic Association . BOA blue book: the care of patients with fragility fractures . London : The British Orthopaedic Association , 2007

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Sakae Tanaka Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, Japan

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oestrogen in maintaining skeletal integrity is evidenced by the fact that osteoporosis is more common in women than in men and that fragility fractures markedly increase after menopause. Albright et al reported in the 1940s that oestrogen administration

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Luca Pacchiarini Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Lorenzo Massimo Oldrini Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Pietro Feltri Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Stefano Lucchina Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Surgical Department, Hand Surgery Unit EOC, Locarno’s Regional Hospital, Locarno, Switzerland
Locarno Hand Center, Locarno, Switzerland

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Giuseppe Filardo Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland

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Christian Candrian Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland

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.2106/JBJS.L.00232 ) 58 Kato S Tatebe M Yamamoto M Iwatsuki K Nishizuka T & Hirata H . The results of volar locking plate fixation for the fragility fracture population with distal radius fracture in Japanese women . Nagoya Journal of

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Djandan Tadum Arthur Vithran Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China

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Anko Elijah Essien Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China

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Masoud Rahmati Research Centre on Health Services and Quality of Life, Aix Marseille University, Marseille, France
Department of Physical Education and Sport Sciences, Faculty of Literature and Human Sciences, Lorestan University, Khoramabad, Iran
Department of Physical Education and Sport Sciences, Faculty of Literature and Humanities, Vali-E-Asr University of Rafsanjan, Rafsanjan, Iran

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Michael Opoku Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China

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Dong Keon Yon Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Republic of Korea
Department of Pediatrics, Kyung Hee University College of Medicine, Seoul, Republic of Korea

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Guillermo F López Sánchez Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain

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Ai Koyanagi Research and Development Unit, Parc Sanitari Sant Joan de Deu, Barcelona, Spain

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Lee Smith Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK

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Jae Il Shin Department of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea

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Wenfeng Xiao Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China

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Shuguang Liu Department of Joint Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, China

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Yusheng Li Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China

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fragility fractures. Their findings support our conclusions, further emphasizing the importance of these drugs in the clinical landscape. Lastly, Hong et al. ( 76 ) conducted a meta-analysis comparing the efficacy of abaloparatide and teriparatide, with

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Gilles Pasquier Service de Chirurgie Orthopedique, Centre-Hospitalo-Universitaire de Lille, France

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Matthieu Ehlinger Service de Chirurgie Orthopedique et de Traumatologie, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, France

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Didier Mainard Service de Chirurgie Orthopédique, Cente Hospitalo-Universitaire de Nancy, Centre Hospitalo-Universitaire de Nancy, France

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. These patients are challenging to treat due to their more fragile general condition. Good functional outcomes have been obtained but they are still inferior to those of gliding implants and have a higher revision rate. Outcomes of hinged implants

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