What is a fragility fracture?
A fragility fracture is a fracture due to weak, thin bone occurring from a low-trauma event (e.g., fall from a standing height).1,2
The most common sites of fragility fractures are the forearm, hip, spine, humerus and pelvis.1
Risk of refracture
A fragility fracture is one of the most significant risk factors for predicting future fractures.3
- Risk of another fracture within 1 year:
- After hip fracture: 5%-10% risk
- After vertebral fracture: 20% risk
After a fragility fracture, it has been shown that an osteoporosis patient is at imminent risk of a subsequent fracture within 2 years.4
In a recent Ontario study of patients with an index fragility fracture (N=115,776), 17.8% incurred a second fracture and 3.6% incurred a third fracture over the study period. The median time to second fracture across any index fracture site was consistently less than 2 years.4†
Increased morbidity
An individual’s overall well-being and quality of life can be seriously impacted by an osteoporosis-related fragility fracture.1
- Physical effects can include chronic pain, reduced mobility, loss of height, disability and premature death.
- Psychological consequences often ensue, i.e., depression, and anxiety due to fear of future fractures, consequent impairment and worries about falling.
- Social impacts include loss of social role and social isolation.
Hip fractures carried a high and looming risk of mortality
~25% of patients 40+ died of any cause within the following year (2014-2015 excluding Yukon and Saskatchewan).1,5
Why?
- Post-fracture complications
- Multiple predisposing comorbid conditions1
Osteoporosis-related fragility fractures can impact patients both physically and emotionally. Watch the videos below to see how.