Preventing Falls, Preventing Fractures: A Review Paper

Abstract

Pedants will demand the results of a randomised trial demonstrating that preventing falls prevents fractures. Such a trial has not been undertaken and as it would probably require an international multi-centre trial and a clear commercial driver, it may therefore never be done. However, modifying risk factors undoubtedly reduces falls, and falls are among the commonest problems facing the growing older population. The challenge now is to take the various guidelines and translate this into clinical and public health practice. Undoubtedly this will require multi-agency and interdisciplinary working. The orthopaedic and musculoskeletal teams should be prepared to play their part.

Key Words::

• falls
• fractures
• osteoporosis