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Vitamin D status-associated postoperative complications in patients with hip dysplasia after periacetabular

Kazuki Kitade1,2, Taro Mawatari1,2, Shoji Baba1

  • 1Department of Orthopaedic Surgery, Hamanomachi Hospital, Fukuoka, Japan.

Modern Rheumatology
|October 5, 2022
PubMed

Insights

Low vitamin D levels are linked to complications after periacetabular osteotomy. Supplementation may help prevent issues like delayed union and stress fractures in patients with low vitamin D status.

Area of Science:

  • Orthopedic Surgery
  • Endocrinology
  • Nutritional Science

Background:

  • Periacetabular osteotomy (PAO) is a complex orthopedic procedure.
  • Postoperative complications can impact patient outcomes.
  • Vitamin D status is crucial for bone healing and overall health.

Purpose of the Study:

  • To investigate the association between vitamin D levels and complications following PAO.
  • To identify risk factors for delayed union and stress fractures post-PAO.

Main Methods:

  • Retrospective review of 46 hips in 39 patients undergoing PAO.
  • Assessment of serum 25-hydroxyvitamin D [25(OH)D] levels.
  • Evaluation for delayed union of the greater trochanter (DUGT) and ischiopubic stress fractures (IPSFs).

Main Results:

  • Mean serum 25(OH)D level was 11.9 ng/ml.
  • Prevalence of DUGT was 10.3% and IPSF was 7.7%.
  • Low 25(OH)D levels (≤11 ng/ml) and smoking were significantly associated with complications.

Conclusions:

  • Severe vitamin D deficiency is common in PAO patients.
  • Vitamin D deficiency and smoking are independent risk factors for PAO complications.
  • Proactive vitamin D supplementation is recommended for patients with low levels to reduce complications.
Abstract

Keywords:
Delayed unionperiacetabular osteotomypostoperative complicationsstress fracturevitamin D deficiency

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