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
- Healthy bones need: Calcium, Vitamin D, Magnesium, Silicon, Vitamin K, and Boron – 2012
-
14 articles are in both Bone and Magnesium categories 26 articles are in both Bone and Vitamin K2 categories Falls and Fractures category contains the following
225 items in FALLS and FRACTURES - see also Overview Seniors and Vitamin D
- Overview Fractures and Falls and Vitamin D
- Deaths due to falls doubled in just a decade (age-adjusted, perhaps decreased vitamin D) – June 2019
- Low trauma bone fractures in seniors – considering Vitamin D loading dose for all, without testing – Nov 2019
- Preventing Falls in Older Adults – Vitamin D combination is the best - JAMA Meta-analysis Nov 2017
- Falls cut in half by 100,000 IU vitamin D monthly - RCT 2016
- Vitamin D prevents falls – majority of meta-analyses conclude – meta-meta analysis Feb 2015
- Vitamin D and fractures – 24 meta-analyses and counting – Dec 2014
Hip fracture
- Search Vitamin D Life for "HIP FRACTURE" 191 items not in PDF as of July 2020
- A call to action: Vitamin D for hip fracture (50,000 weekly for 8 weeks, then bi-weekly – Holick July 2020
- Recommends vitamin D after hip fracture ( but not enough and no-bone building co-factors) – May 2021
- Risk factors for death after hip fracture surgery – 7 of the 8 are associated with low vitamin D – Aug 2020
- 3.5 X higher risk of death 2 years after hip fracture surgery if low vitamin D – Jan 2020
- Hip fracture recovery best with home exercise plus Vitamin D – RCT Dec 2018
- Hip fracture 58 percent more likely if low vitamin D – meta-analysis March 2017
- Fracture risk 40 percent higher risk if low Vitamin D - June 2019
- 1 in 3 died after hip fracture but only 1 in 14 if add Vitamin D and exercise – RCT April 2017
The study recommend the bare minimum to reduce hip fracture complications. but not enough to prevent future falls and hip fracturesAlso, 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 Vitamin D Life
Table of contentsIn 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.
Recommends vitamin D after hip fracture ( but not enough and no-bone building co-factors) – May 2021252 visitors, last modified 21 May, 2021, This page is in the following categories (# of items in each category)Falls and Fractures225 Attached files
ID Name Comment Uploaded Size Downloads 15613 Fracture role.jpg admin 21 May, 2021 01:42 48.45 Kb 38 15612 Hip fracture.jpg admin 21 May, 2021 01:42 26.93 Kb 82 15611 Fracture optimal ToC.jpg admin 21 May, 2021 01:42 60.94 Kb 47 15610 optimal vitamin D status in patients operated for an osteoporotic fracture.pdf PDF 2021 admin 21 May, 2021 01:41 789.08 Kb 38 See any problem with this page? Report it (FINALLY WORKS)