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Improved Patient Instructions at Discharge After Hip or Forearm Fractures Because osteoporosis is highly prevalent in patients with these types of fracture, further fractures can be effectively prevented by life-style interventions (exercise and smoking cessation) and medications (bisphosphonates or vitamin D).1 A leaflet with such explanations is now being tested by Orthopedic teams. 1 Majumdar SR, Rowe BH, Folk D, et al. A Controlled Trial To Increase Detection and Treatment of Osteoporosis in Older Patients with a Wrist Fracture. Ann Intern Med. 2004;141(5):366-373.