Vitamin D deficiency in patients with osteoarthritis undergoing total hip replacement
| Autor: | Richard Keen, Danyal H. Nawabi, Fares S. Haddad, K. F. Chin |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Joint replacement Arthroplasty Replacement Hip medicine.medical_treatment Population Pilot Projects Osteoarthritis Severity of Illness Index Osteoarthritis Hip vitamin D deficiency Internal medicine medicine Vitamin D and neurology Humans Orthopedics and Sports Medicine Risk factor education Aged Calcifediol Aged 80 and over Hip surgery education.field_of_study business.industry Middle Aged Prognosis Vitamin D Deficiency medicine.disease Surgery Treatment Outcome Orthopedic surgery Female business |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :496-499 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.92b3.23535 |
| Popis: | We measured the plasma 25-hydroxyvitamin D3 (25(OH)D3) levels in 62 consecutive Caucasian patients undergoing total hip replacement for osteoarthritis. The patients were divided into two groups based on whether they were vitamin D sufficient or deficient. The groups were matched for age, gender and the American Society of Anaesthesiologists (ASA) grade. The prevalence of vitamin D deficiency in our patients was comparable with recent population-based studies performed in the United Kingdom. Patients with vitamin D deficiency had lower pre-operative Harris hip scores (Mann-Whitney test, p = 0.018) and were significantly less likely to attain an excellent outcome from total hip replacement (chi-squared test, p = 0.038). Vitamin D levels were found to positively correlate with both pre- and post-operative Harris hip scores. These results warrant further study of vitamin D deficiency in patients undergoing joint replacement as it is a risk factor for a suboptimal outcome which is relatively simple and cheap to correct. |
| Databáze: | OpenAIRE |
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