J Bone Metab.  2019 Nov;26(4):207-211. 10.11005/jbm.2019.26.4.207.

Establishment of Fracture Liaison Service in Korea: Where Is It Stand and Where Is It Going?

  • 1Department of Orthopaedic Surgery, Eulji University Hospital, Daejeon, Korea.
  • 2Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea. hayongch@naver.com
  • 3Department of Rehabilitation, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.


The elderly population growth rate is extremely high in Korean society, and life expectancy is close to 85 years old for women and 80 for men as of people born in 2015. The future hip fracture prediction model of Korea shows that the elderly hip fracture rate will increase by 1.4 times by 2025, which will impose a serious socioeconomic burden on Korean society and become a key issue of public health management. The fracture liaison service (FLS) is defined adequate treatment and services for patients over 50 years old with fragility fractures, enabling systematic identification and decreasing the risk of subsequent osteoporotic fractures. In Korean society, the introduction of FLS, which is verified not only in the socioeconomic aspects but also in the treatment of patients, is thought to be essential. However, the challenges that need to be addressed in order to implement FLS include the lack of awareness regarding the necessity of this system, the lack of healthcare systems, and inadequate policies. In the future, further studies on the FLS and its clinical and socioeconomic effects for the Korean medical system will be necessary.


Hip fractures; Osteoporotic fractures; Secondary prevention

MeSH Terms

Delivery of Health Care
Hip Fractures
Life Expectancy
Osteoporotic Fractures
Population Growth
Public Health
Secondary Prevention
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