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Recommends vitamin D after hip fracture ( but not enough and no-bone building co-factors) – May 2021

How can the orthopedic surgeon ensure optimal vitamin D status in patients operated for an osteoporotic fracture?

Osteoporos Int . 2021 May 20. doi: 10.1007/s00198-021-05957-9
T Chevalley 1, M L Brandi 2, E Cavalier 3, N C Harvey 4, G Iolascon 5, C Cooper 4 6, D Hannouche 7, J-F Kaux 8, A Kurth 9, S Maggi 10, G Maier 11, K Papavasiliou 12, N Al-Daghri 13, M Sosa-Henríquez 14 15, N Suhm 16, U Tarantino 17, J-Y Reginster 18, R Rizzoli 19
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VitaminDWiki

Falls and Fractures category contains the following

Falls

Fracture


The study recommend the bare minimum to reduce hip fracture complications. but not enough to prevent future falls and hip fractures

Also, the study fails to mention that Vitamin D with co-factors can PREVENT falls and hip fractures
   Note: prevention reduces the need for hip-fracture surgeons

 Download the PDF from VitaminDWiki
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In this narrative review, the role of vitamin D deficiency in the pathophysiology, healing of fragility fractures, and rehabilitation is discussed. Vitamin D status can be assessed by measuring serum 25(OH)-vitamin D level with standardized assays. There is a high prevalence of vitamin D insufficiency ( 25 (OH)D < 50 nmol/l (i.e., 20 ng/mL)) or deficiency (25(OH)D < 25 nmol/l (i.e., 10 ng/mL) ) in patients with fragility fractures and especially in those with a hip fracture. The evidence on the effects of vitamin D deficiency and/or vitamin D supplementation on fracture healing and material osseointegration is still limited. However, it appears that vitamin D have a rather positive influence on these processes. The fracture liaison service (FLS) model can help to inform orthopedic surgeons, all caregivers, and fractured patients about the importance of optimal vitamin D status in the management of patients with fragility fractures. Therefore, vitamin D status should be included in Capture the Fracture® program as an outcome of FLS in addition to dual-energy X-ray absorptiometry (DXA) and specific antiosteoporosis medication. Vitamin D plays a significant role in the pathophysiology and healing of fragility fractures and in rehabilitation after fracture. Correction of vitamin D deficiency should be one of the main outcomes in fracture liaison services.


Created by admin. Last Modification: Friday May 21, 2021 02:11:01 GMT-0000 by admin. (Version 8)

Attached files

ID Name Comment Uploaded Size Downloads
15613 Fracture role.jpg admin 21 May, 2021 48.45 Kb 300
15612 Hip fracture.jpg admin 21 May, 2021 26.93 Kb 294
15611 Fracture optimal ToC.jpg admin 21 May, 2021 60.94 Kb 262
15610 optimal vitamin D status in patients operated for an osteoporotic fracture.pdf admin 21 May, 2021 789.08 Kb 339