Effect of Preoperative Vitamin D Levels on Functional Performance after Total Knee Arthroplasty
Clinics in Orthopedic Surgery
;
: 153-156, 2016.
Artículo
en Inglés
| WPRIM
| ID: wpr-138587
ABSTRACT
BACKGROUND:
Low vitamin D levels affects muscle function. Vitamin D and calcium deficiency cause osteomalacic myopathy and poor functional recovery after hip fractures. The relationship of vitamin D and functional performance after total knee arthroplasty (TKA) is not previously reported.METHODS:
Influence of vitamin D on functional performance before and after TKA was reviewed retrospectively in 120 patients. Of these, 64 had vitamin D deficiency (25-hydroxy vitamin D < 30 ng/mL) preoperatively. All 120 patients received vitamin D oral supplementation postoperatively. Functional parameters including Western Ontario and McMaster Osteoarthritis Index (WOMAC), Short-Form Health Survey questionnaire, and Knee Society Score were assessed pre- and postoperatively at 3 months.RESULTS:
Preoperative function was significantly lower in osteoarthritic patients with vitamin D deficiency (WOMAC score; p = 0.040), but at 3 months all functional scores were similar.CONCLUSIONS:
We concluded that vitamin D deficiency has a negative effect on function in knee osteoarthritic patients. However, postoperative vitamin D supplementation can lead to functional recovery in these patients. Thus, TKA should not be delayed in vitamin D deficient patients; rather supplementation in the postoperative period is preferable to achieve comparable functional outcome at 3 months to patients with vitamin D sufficiency.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Ontario
/
Osteoartritis
/
Periodo Posoperatorio
/
Artroplastia
/
Vitamina D
/
Deficiencia de Vitamina D
/
Vitaminas
/
Calcio
/
Estudios Retrospectivos
/
Encuestas Epidemiológicas
Tipo de estudio:
Estudio observacional
Límite:
Humanos
País/Región como asunto:
America del Norte
Idioma:
Inglés
Revista:
Clinics in Orthopedic Surgery
Año:
2016
Tipo del documento:
Artículo
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