title: [Orthopedic surgeons' view for the prevention of osteoporotic secondary fractures: a survey].
abstract: OBJECTIVE
  This study aims to investigate the tendencies related to assessment and treatment modalities administered to patients with osteoporotic fractures by orthopedics and traumatology specialists for the prevention of secondary fractures in our country.
  
  
  METHODS
  A survey composed of 10 questions was applied in electronic environment to actively practicing 144 orthopedics and traumatology specialists to detect their demographics, protocol they administer for the diagnosis and follow-up of primary osteoporosis, and assessment and treatment modalities they administer for the prevention of secondary fractures. Categorical variables were compared statistically based on duration of specialization, affiliated institution, and academic career along with the descriptive results.
  
  
  RESULTS
  Use of the Fracture Risk Assessment Tool (FRAXTM) developed by World Health Organization is limited among orthopedics and traumatology specialists in our country (11%). There was no statistical difference between the groups (p>0.05). The rate of starting the appropriate treatment after hip and vertebral fractures due to osteoporosis was 21%. In addition, 46% of the physicians preferred to wait for the dual-energy X-ray absorptiometry results. Only academic career was statistically significantly different between the groups (p=0.043).
  
  
  CONCLUSIONS
  In our country, majority of patients who present with osteoporotic hip and vertebra fractures are assessed and treated insufficiently for the prevention of secondary fractures. Supporting our results with clinical studies can accelerate the development of sufficient research and treatment programs for patients with osteoporotic fractures.
authors.affiliation: Department of Orthopedics and Traumatology, Medical Faculty of Pamukkale University, 20070 Kınıklı, Denizli, Turkey. hrgungor@gmail.com.
authors.forename: Harun R
authors.initials: HR
authors.lastname: Güngör
authors.forename: Nusret
authors.initials: N
authors.lastname: Ok
authors.forename: Semih
authors.initials: S
authors.lastname: Akkaya
authors.forename: Esat
authors.initials: E
authors.lastname: Kıter
mesh_terms: D015502:Absorptiometry, Photon; D006620:Hip Fractures / Q000209:etiology; D006801:Humans; D009985:Orthopedics; D010024:Osteoporosis / Q000000981:diagnostic imaging / Q000628:therapy*; D058866:Osteoporotic Fractures / Q000517:prevention & control*; D010818:Practice Patterns, Physicians'; D012008:Recurrence; D016103:Spinal Fractures / Q000209:etiology; D011795:Surveys and Questionnaires; D014421:Turkey