en Orthopedic Surgery Orthopedic Surgery Original Research Original Research <p> <strong>Abstract</strong></p><p> <strong>Background:</strong> Osteoporosis is a major public health threat, and hip fracture is a serious consequence of osteoporosis. Apatient with an osteoporosis-related hip fracture has an increased risk for a second hip fracture. The effect of osteoporosis management on the risk of recurrent hip fracture was evaluated in this study.</p><p> <strong>Methods:</strong> 58 hip fracture patients older than 50yr and BMD < 2.5 were discharged from hospital with Ca-Vitamin D- Alendronate prescriptions, and followed up for 4 years to determine the rate of recurrent hip fractures. Rate of second hip fractures was compared with 58 hip fractures in the control group (without osteoporosis treatment) which were also followed for 4 years.</p><p> <strong>Results: </strong>72% of patients continued treatment for 2 years. There were no second hip fractures in the critical first 12 months in the treated group. Overall second hip fractures in osteoporosis treated and control groups were 3.4% and 8.6% (p<0.03), respectively.</p><p> <strong>Conclusion:</strong> Management of hip fractures in the elderly should include bone mineral density determination and osteoporosis treatment to prevent further fractures.</p> Second hip fracture, Osteoporosis management, Prevention 181 183 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-233&slc_lang=en&sid=1 A. Shahla a_shahla@ umsu.ac.ir 20031947532846002410 20031947532846002410 Yes Department of Orthopedic Surgery, Shahid Motahhari Hospital, Urumia University of Medical Sciences,Urumia, Iran S. Charesaz 20031947532846002411 20031947532846002411 No Department of Orthopedics, Shahid Motahhari Hospital, Urumia University of Medical Sciences, Urumia, IR. Iran