This study is looking at whether a special referral process from your surgeon for bone health can help patients who are having lower extremity arthroplasty (joint replacement surgery in the leg or foot). Researchers want to see if this "Surgeon-Initiated Bone Health Referral Pathway" can reduce problems like needing another surgery or having a fragility fracture (a broken bone from a minor fall) after your joint replacement. You might be able to join if you are over 50 and have osteoporosis (weak bones) confirmed by a DEXA scan. The study will compare this new referral pathway to the usual way doctors refer patients for bone health care. The goal is to see if this new approach leads to better outcomes for patients after surgery.

Study design

This study plans to enroll 2000 participants and will randomly assign them to either the bone health referral pathway or standard care. It is an interventional study, meaning participants will receive a specific intervention.

What's involved

Participants will be screened for osteoporosis using a DEXA scan. If assigned to the treatment arm, you would be referred to an endocrinologist for virtual consultation, receive additional bone health labs, and potentially start medication. If in the control arm, you would be told to follow up with your primary care provider.

Compensation

Not stated in the trial record.

Follow-up

Participants will be followed for two years after their lower extremity arthroplasty to track the incidence of all-cause revision and fragility fractures.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.