在脚治疗和手术中对维生素D的考虑
1Orthopaedic Surgery, Department of Orthopaedics and Rehabilitation, Larner College of Medicine, University of Vermont, Stafford Hall 418, 95 Carrigan Drive, Burlington, VT 05401, USA.
The Orthopedic clinics of North America
|May 23, 2024
概括
维生素D补充剂可能有助于足手术中的骨愈合. 整形外科医生应评估患有脆弱性骨折或骨综合征的患者的维生素D水平.
科学领域:
- 整形外科 整形外科 整形外科
- 内分泌学 在内分泌学.
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 维生素D在足手术和骨愈合中的作用尚不清楚.
- 骨质疏松症通常最初由F&A外科医生通过脆弱性骨折进行鉴定.
- 在诸如骨髓胀综合征和骨髓炎剖析等疾病中,怀疑D型低维他命.
研究的目的:
- 审查目前关于维生素D对F&A手术中骨愈合的影响的证据.
- 强调在高危的骨科患者中查维生素D缺乏的重要性.
- 讨论维生素D和补充剂的潜在益处.
主要方法:
- 在F&A手术中研究维生素D和骨愈合的研究文献综述.
- 分析F&A外科医生在识别骨质疏松症方面的作用.
- 讨论证据,将低维生素D与特定的骨疾病联系起来.
主要成果:
- 证据支持维生素D (2000 IU/天) 和 (1 g/天) 补充剂用于骨愈合.
- 在检测骨质疏松症的早期迹象方面,F&A外科医生是关键.
- 间接证据将低维生素D与骨髓胀和骨质软骨炎相关联.
结论:
- 与一起补充维生素D,可以在F&A手术中增强骨愈合.
- 当脆弱性骨折发生时,迅速转诊骨质疏松症评估至关重要.
- 考虑在怀疑低维生素D相关疾病的患者中进行常规维生素D水平评估.
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