What one-year mortality rate after hip fractures from thinning bone does the speaker state?

Dr. Joshua John-Ram SchacterDr. Joshua Schacter, DO FAAOS, is America’s Holistic Orthopedic Surgeon, with nearly two decades of surgical expertise.

Osteoporosis: The Risk No One Talks About

13 Sept 2025 · 1 min

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1:03

A short video segment in which Dr. Joshua John-Ram Schacter explains the dangers of osteoporosis: thinning bones increase fracture risk after falls, often requiring surgery, and are associated with high short-term mortality (up to ~30% one-year mortality after hip fracture). He links falls to muscle weakness and low stability and mentions bioidentical hormone replacement therapy (including testosterone) as a treatment to improve muscle mass and stability.

Questions this video answers

As much as 30% (about a third) of patients may die within one year after hip fracture.

Chapters

But the underlying problem is that their bones have thinned so much that when they fall, they're at extreme risk for fracture. And usually that requires an operation.
The big problem with osteoporosis is that one, it hurts and it can cause significant collapse around joints, so it can accelerate our arthritis. Pre existing, the major concern with osteoporosis is when we fall and break a bone. And people fall because they develop weakness, which is a result of having poor muscle mass and poor stability, which we can treat with bioidentical hormone replacement therapy. We can get to testosterone. But when they fall and when we break a hip, we know that there's a significant risk of death within a year. If we look at all of the hip fractures that are the result of thinning bone, it's as much as 30% of those patients will pass away within a year. That's a third of these people will die in a year. And it's not necessarily because they need a surgery. It's because, you know, other metabolic issues. But the underlying problem is that their bones have thin so much that when they fall, they're at extreme risk for fracture. And usually that requires an operation.