Official Journal of the Italian Society of Orthopaedics and Traumatology
Table 2 Osteoporotic fracture and osteoporosis management protocol
From: Combined pubic rami and sacral osteoporotic fractures: a prospective study
Analgesia | |
Paracetamol 1 g QDS | |
Codiene phosphate 30 mg QDS | |
Intranasal calcitonin 200 IU OD (for sacral fractures) | |
Gabapentin (in presence of radiculopathy) | |
Physiotherapy | |
Mobilization as pain allows | |
DVT prophylaxis | |
Tinzaparin 3,500 IU subcutaneously, OD | |
Osteoporosis treatment | |
Alendronate or risedronate (if able to swallow solids) | |
Strontium ranelate (if unable to swallow solids) | |
Zoledronate (in patients with poor compliance) |