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Published on: August 14, 2018
Vitamin D Deficiency in Adults With Tibial Plateau Fractures: A Comparative Analysis Using a Large National
Constantinos D Apostolou1, Georgios Chatzipanagiotou1, Nikolaos Papazotos1
1Orthopedics and Trauma, Evangelismos General Hospital, Athens, GRC.
Adults with tibial plateau fractures have significantly lower vitamin D levels than the general population. This study highlights a high prevalence of vitamin D deficiency in fracture patients, suggesting a need for screening and supplementation.
Area of Science:
- Orthopedics and Endocrinology
- Bone Metabolism Research
Background:
- Vitamin D is crucial for bone health and preventing fractures.
- The vitamin D status in tibial plateau fracture patients is not well-understood.
Purpose of the Study:
- To assess serum vitamin D levels in patients with tibial plateau fractures.
- To compare these levels with the general Greek population.
- To determine if vitamin D deficiency is more common in fracture patients.
Main Methods:
- Prospective evaluation of 45 adult patients with tibial plateau fractures.
- Measurement of serum 25-hydroxyvitamin D (25{OH}D) levels.
- Comparison with data from 8780 individuals from the Greek general population.
Main Results:
- Patients with tibial plateau fractures had significantly lower mean vitamin D levels (16.24±8.21 ng/mL) compared to the general population (25.08±14.40 ng/mL).
- Vitamin D deficiency was much more prevalent in the fracture group (75.6%) versus the general population (40%).
- Groups were similar in age but differed in gender distribution.
Conclusions:
- Adults with tibial plateau fractures exhibit profound vitamin D deficiency.
- Screening and vitamin D supplementation may be beneficial for this patient group.
- Further research is needed to explore if low vitamin D is a risk factor for tibial plateau fractures.
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