Establishing a hospital based fracture liaison service to prevent secondary insufficiency fractures

Document Type



Orthopaedic Surgery



Insufficiency fracture care requires more than surgery to ensure rapid and strong union with diminished chance of future fractures. The FLS program provides an opportunity to treat osteoporosis from a public health perspective rather than leaving this to the whims of individual physicians. This is achieved by providing a seamless integration of care by health care providers, nursing staff and administration. The FLS can be adapted to any model of care including academic health systems. FLS provides a holistic approach to identify patients as well as to provide evidence-based interventions to prevent subsequent fractures. The long term goal is that internationally FLS will result in in decreased fracture-related morbidity, mortality and overall health care expenditure


Int J Surg