Awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association

Awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association

A survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association conducted in 2022 found considerable variation in care across the region.

The survey sought to document APOA members’ insights on aspects of care of fragility fracture patients (e.g. surgery, mobilisation, secondary fracture prevention). 521 APOA members completed the survey and notable findings included:

  • 59% of respondents indicated that analgesia was routinely initiated in transit or within 30 minutes of arrival in the Emergency Department.
  • One-quarter of respondents stated that more than 80% of their patients underwent surgery within 48 hours of admission.
  • One-third of respondents considered non-hip, non-vertebral fractures to merit assessment of future fracture risk.
  • One-third of respondents reported the presence of an Orthogeriatric Service in their hospital, and less than a quarter reported the presence of a Fracture Liaison Service.


In light of the Global Call to Action on Fragility Fractures published in 2018, a Call to Action for all National Orthopaedic Associations affiliated with APOA was proposed to improve the care of fragility fracture patients across the region in terms of the following:

  1. Improvement in acute multidisciplinary care
  2. Ongoing post-acute care
  3. Rapid secondary prevention
  4. Knowledge dissemination and training
  5. Research and collaboration
  6. Policy advocacy

According to Dr. Joon-Kiong Lee, one of the authors,: ‘Orthogeriatric care, a multidisciplinary care model, should be built as the standard of care in all nations for all patients who sustain fragility fractures, to prevent subsequent fractures.’.

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