Description
The session features a discussion led by Andrew Duckworth and Ed Harvey, focusing on bone health treatments post-fractures, including the use of bisphosphonates and vitamin supplements like vitamin C and D. Questions arise regarding their effectiveness and practice in clinical settings. They explore the common occurrence of patients being on bisphosphonates upon admission, whether these should be paused for better bone healing, and the adherence challenges faced with these medications. Several audience members contribute their perspectives on vitamin D and calcium administration after fractures, citing that scientific evidence supporting such treatments is lacking, although they are sometimes implemented in practice.
The conversation transitions to the management of atypical femoral fractures linked to prolonged bisphosphonate use, where both Duckworth and Costa agree on the lack of clear guidance and evidence for using biologics as a solution. They convey frustrations regarding current treatment adherence and the implications of complications from surgical interventions in older patients. The discussion includes anecdotes and reflections on the public's perception regarding treatments like PRP (Platelet-Rich Plasma), ultimately leading to a humorous commentary on the influence of media on patient expectations for these therapies. The session closes with acknowledgments of the speakers' contributions and a call for ongoing engagement in future events.