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由于人口老龄化，骨质疏松性骨折的发生呈逐年增加的趋势，给社会和家庭带来了沉重负担。预防骨质疏松性骨折以及再骨折的发生已经成为我国重要的课题。目前大多数骨质疏松性骨折高危的患者都是在发生骨折后到医院就诊被发现的。由于缺乏对骨质疏松性骨折的正确认识和综合管理的体系，临床医生多局限在对骨折本身的处理，而对后期再骨折的预防重视不够。流行病学数据表明，对于骨质疏松性骨折高危的患者或者首次骨折后的患者，2年内再次发生骨折的风险明显增高，死亡风险持续增加。这是一种迫在眉睫的骨折风险，也是我们从临床上可以并且应该开始行动的着力点之一。本文立足国情，分析目前对于骨质疏松性骨折风险管理的不足，从高危人群识别，治疗以及多学科合作等方面提出中国应对骨质疏松性骨折的策略建议。“,”With the aging of the population, the incidence of osteoporotic fractures is increasing year by year, which leads to a heavy burden to society and families. Preventing osteoporotic fractures and re-fractures are critical issues and current challenges in our country. At present, most patients with high risk of osteoporotic fractures are identified in hospitals after fractures. Due to lack of proper understanding of osteoporotic fractures and a comprehensive management system, clinicians only focus on to the treatment of the fracture itself, and pay less attention to the prevention of long-term fractures. Epidemiological data show that in patients with high risk of osteoporotic fracture or those having first fractures, the risk of reoccurring fractures within 2 years is significantly increased, and the risk of death also continues to increase. This is defined as imminent fracture risk, and it is one of the pressing areas that we can and should start to take action in clinic. Taking into considecation of national conditions, this article analyzes current gaps in the risk management of osteoporotic fractures and proposes strategies from aspects of high-risk population identification, treatment, and multidisciplinary cooperation.