Abstract: Objective: To study the effect of Fracture Liaison Service (FLS) led by specialized nurses for the elderly patients with hip fracture. Methods: The implementation of FLS was based on the establishment of a multidisciplinary team, with the elderly orthopedic specialized nurses as the whole-process coordinator, to identify and evaluate osteoporosis patients, initiate FLS related treatment, follow up, monitor and construct information database. The osteoporosis diagnosis rate and treatment rate of the elderly hip fracture patients before and after the implementation of FLS were compared between geriatric hip fracture ward and general trauma orthopedic ward. Results: The osteoporosis diagnosis rate and treatment rate were higher in patients in the geriatric hip fracture ward and the general trauma orthopedic ward after the implementation of FLS than before the implementation of FLS (P<0.05), and the osteoporosis diagnosis rate and treatment rate were higher in patients in the geriatric hip fracture ward than in the general trauma orthopedic ward after the implementation of FLS (P<0.05). Conclusion: The FLS model, which is led by the senior orthopedic specialized nurses, increases the diagnosis rate and treatment rate of osteoporosis, and helps to reduce the incidence of secondary fracture.

Key words: specialized nurse; hip fracture in the elderly; Fracture Liaison Service; osteoporosis fracture