Priority 15 from the Complex Fractures PSP

UNCERTAINTY:How can we assess and improve bone health after complex fractures to promote healing and prevent future fractures?  (JLA PSP Priority 15)
Overall ranking 15
JLA question ID 0105/15
Explanatory note Bone health depends on hormonal, nutritional, and mechanical factors. Patients and clinicians were interested in questions relating to better understanding these factors and potential targets for treatment in the context of complex fractures.  

Several studies have been carried out on calorific and other supplementation in fractures generally, but not specifically complex fractures.

No other relevant trial evidence Cochrane/PUBMED since 2015.

Health Research Classification System category Injuries and accidents
Extra information provided by this PSP
Original uncertainty examples I had a severe vitamin D deficiency and needed to know my future treatment for this. ~ I needed a specialised daily calcium injection sorting out. ~ Bone Health
Submitted by 2 x Patient, 1 x Nurse 
PSP information
PSP unique ID 0105
PSP name Complex Fractures
Total number of uncertainties identified by this PSP. 58  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 8th June 2021