• Omer Or, Tamar Fisher Negev, Vered Hadad, Ran Shabtai, Alona Katzir, Yotam Weil, and Meir Liebergall.
• Department of Orthopedic Surgery, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Israel.
• Isr Med Assoc J. 2021 Aug 1; 23 (8): 490493490-493.

BackgroundOsteoporosis is a common medical condition in older ages. A devastating result of osteoporosis may be a hip fracture with up to 30% mortality rate in one year. The compliance rate of osteoporotic medication following a hip fracture is 20% in the western world.ObjectivesTo evaluate the impact of the fracture liaison service (FLS) model in the orthopedic department on patient compliance following hip fracture.MethodsWe performed a retrospective review of all patients with hip fracture who were involved with FLS. We collected data regarding kidney function, calcium levels, parathyroid hormone levels, and vitamin D levels at admission. We educated the patient and family, started vitamin D and calcium supplementation and recommended osteoporotic medical treatment. We phoned the patient 6-12 weeks following the fracture to ensure treatment initiation.ResultsFrom June 2018 to June 2019 we identified 166 patients with hip fracture who completed at least one year of follow-up. Over 75% of the patients had low vitamin D levels and 22% had low calcium levels at admission. Nine patients (5%) died at median of 109 days. Following our intervention, 161 patients (96%) were discharged with a specific osteoporotic treatment recommendation; 121 (73%) received medication for osteoporosis on average of < 3 months after surgery. We recommended on injectable medications; however, 51 (42%) were treated with oral biphsophonate.ConclusionsFLS improved the compliance rate of osteoporotic medical treatment and should be a clinical routine in every medical center.

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