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Abstract

Osteoporosis is a metabolic bone disease that is caused by a decreased amount of bone mass, and microarchitectural damage to bone tissue that affects the bone to break easily. Osteoporosis can be divided into primary and secondary etiologies. Vertebral, hip, distal radius, and proximal humerus are the most common predilection of fracture complication due to osteoporosis. The diagnosis of osteoporotic fractures is established based on the identification of risk factors, general clinical manifestations, specific manifestation from each fracture predilection, and advanced examinations, including radiology imaging and dual-energy x-ray absorptiometry. The purpose of osteoporotic fractures management in elderly is a stable fixation with early mobilization that will induce an optimal activation of osteoblast for new bone formation.

Bahasa Abstract

Osteoporosis merupakan penyakit metabolik pada tulang yang disertai penurunan massa tulang, dengan kerusakan mikroarsitektur dari jaringan tulang sehingga tulang mudah fraktur. Klasifikasi osteoporosis terbagi menjadi osteroporosis primer dan sekunder. Komplikasi fraktur vertebra, panggul, radius distal, dan humerus proksimal merupakan predileksi fraktur terbanyak akibat osteoporosis. Penegakkan diagnosis fraktur osteoporosis terdiri dari identifikasi faktor risiko, temuan manifestasi klinis secara umum, manifestasi spesifik setiap predileksi fraktur, dan pemeriksaan penunjang seperti radiologi dan dual energy x-ray absorptiometry. Penatalaksanaan fraktur osteoporosis pada pasien lansia bertujuan untuk fiksasi fragmen fraktur yang stabil agar pasien dapat mobilisasi dini, yang berdampak pada aktivasi osteoblas dalam pembentukan tulang baru yang optimal.

Kata Kunci: Fraktur, konservatif, mobilisasi dini, osteoporosis, pembedahan

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