A 81-year-old woman with a CFS of 4 has recently been discharged from hospital following a hip fracture. She had a successful dynamic hip screw fixati...

Question

A 81-year-old woman with a CFS of 4 has recently been discharged from hospital following a hip fracture. She had a successful dynamic hip screw fixation. She is now at home with a package of care. According to the post-hip fracture care pathway, which bone protection assessment and treatment should have been initiated before or at discharge?

Accepted Answer

Bone protection therapy (e.g., Alendronic acid 70 mg weekly with calcium and vitamin D) should be initiated, with a DXA scan arranged if not already done

Answer

No bone assessment is needed until 6 months post-fracture

Answer

A DXA scan must be performed before any treatment can be started

Answer

Only calcium and vitamin D are needed

Answer

Bone protection is only indicated if she has a second fracture

uk-dgm MCQ (SBA): Post-Hip Fracture Bone Protection Initiation