Surgical Intervention in Osteoporosis: Follow-up, Management of Fracture Patients, and the Fracture Liaison Service (FLS) Model

Võ Thành Toàn 1, 2 ,
1 Thong Nhat Hospital image/svg+xml
2 University of Health Sciences image/svg+xml
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DOI
10.63947/bvtn.v2i9.2
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Published
2026-10-01
Issue Vol. 2 No. 9 (2026): A Major Step Forward in Specialized Care: A Milestone Marked by the First Liver Transplant at Thong Nhat Hospital
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Review Article

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1.
Võ TT. Surgical Intervention in Osteoporosis: Follow-up, Management of Fracture Patients, and the Fracture Liaison Service (FLS) Model. JHA [Internet]. Vietnam; 2026 Oct. 1 [cited 2026 Oct. 16];2(9):11–21. https://tcsuckhoelaohoa.vn/bvtn/article/view/259 doi: 10.63947/bvtn.v2i9.2
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Abstract

Osteoporotic fractures in older adults represent a highly complex clinical challenge, requiring systematic and multidisciplinary coordination among orthopedic surgery, geriatrics, and metabolic bone specialists. Clinical evidence indicates that immediately following an initial fragility fracture, the risk of sustaining subsequent fractures escalates dramatically, particularly within the critical window of the first 1 to 2 years. Despite these severe consequences, a vast majority of patients in current practice remain significantly under-evaluated and undertreated for their underlying osteoporosis. This comprehensive review aims to systematically update the core principles of surgical intervention for osteoporotic fractures, effective perioperative management protocols, and specifically highlight the strategic implementation of the Fracture Liaison Service (FLS) model. FLS has been clinically proven as an exceptionally effective, structured, and coordinated care model that optimizes the entire patient management pathway, significantly enhances long-term treatment adherence, actively prevents secondary fragility fractures, reduces associated mortality rates, and lowers overall healthcare costs. Widespread adoption and expansion of the FLS framework serve as an essential and vital solution to establishing a standardized system for continuous, comprehensive, and high-quality care for osteoporotic patients throughout Vietnam.

Keywords

Osteoporosis osteoporotic fracture surgical management Fracture Liaison Service perioperative management secondary fracture prevention

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