Effect of Preoperative Vitamin D Levels on Functional Performance after Total Knee Arthroplasty
Clinics in Orthopedic Surgery
;
: 153-156, 2016.
Artigo
em Inglês
| 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ontário
/
Osteoartrite
/
Período Pós-Operatório
/
Artroplastia
/
Vitamina D
/
Deficiência de Vitamina D
/
Vitaminas
/
Cálcio
/
Estudos Retrospectivos
/
Inquéritos Epidemiológicos
Tipo de estudo:
Estudo observacional
Limite:
Humanos
País/Região como assunto:
América do Norte
Idioma:
Inglês
Revista:
Clinics in Orthopedic Surgery
Ano de publicação:
2016
Tipo de documento:
Artigo
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