Citation

Bryson DJ, Nichols JS, Ford AJ, Williams SC. Acta Orthop. Belg. 2013; 79(4): 470-473.

Affiliation

Dept of Trauma and Orthopaedic Surgery, Leicester Royal Infirmary, Leicester, UK. davidjbryson@hotmail.com

Copyright

(Copyright © 2013, Acta Medica Belgica)

DOI

unavailable

PMID

24205780

Abstract

Vitamin D is required for calcium homeostasis and bone metabolism. This prospective observational study examined the incidence of vitamin D deficiency amongst patients with a fracture of the femoral neck, and the correlation between pre-admission use of bone-protection medication and vitamin D levels. Vitamin D assays were available in 75 out of 151 patients admitted with a hip fracture in February-March 2012; the assays were performed within one week of admission and surgery. The incidence of suboptimal vitamin D levels was 90% (68/75), with severe deficiency (<15nmol/l) or deficiency (<30nmol/l) seen in 71% (53/75). Only 7 patients were on bone protection medication at the time of admission, and all of them had suboptimal vitamin D levels. This suggests that the prevention is practically inexistent or at best insufficient. According to the literature, vitamin D deficiency is also associated with falls and maybe with outcome of surgery. Current management strategies may not be sufficient to address vitamin D deficiency and are overlooking an important and potentially modifiable risk factor.

Language: en