Volume 15 | Issue 3 | July-September 2020 | Page 12-15 | Ganesh V. Perke, Ashok Shyam, Yogesh Panchwagh, Parag Sancheti
Authers: Ganesh V. Perke [1], Ashok Shyam [1], Yogesh Panchwagh [1], Parag Sancheti [1]
[1] Department of Orthopaedics, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
Address of Correspondence
Dr. Ganesh Vyankatrao Perke
Department of Orthopaedics, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
E-mail: dr.pgnsh93@gmail.com
Abstract
Background: Hypovitaminosis D is common in the India. The aim of this study was to determine the incidence of hypovitaminosis D and related correlates among patients with distal radius fracture in age above 50 years at orthopaedic speciality centre Hospitals in India.
Methods: A prospective study was carried out in 39 patients with distal radius fracture,aged 50 years and older,admitted to Trauma Unit of orthopaedic speciality centre Hospitals in India, from august 2018 through august 2019.Serum 25-hydroxy vitamin D level was measured by enzyme-linked immunosorbent assay; and serum calcium level measured The data was collected and sorted by age, sex, occupation (indoor and outdoor working), BMI, comorbidties (HTN, DM, hypothyroid ) and addictions (smoking and alcohol), low serum calcium.
Results: Patients’ median age was 70 years (range: 50-99); 53.8% were females and 46.2% male .Low vitamin D incidence Of all patients, 61.5% had vitamin D deficiency (<20 ng/ml); 25.6% reported vitamin D inadequacy (from 20 to 29 ng/ml) and vitamin D levels were normal in 10.3% (>30 ng/ml). 2.6 % reported vit d toxicity and also 64.1 % reported with abnormal serum calcium level and 35.9 % reported with normal serum calcium level. According to the analysis, vitamin D deficiency was significantly associated with age(p -0.017 ), gender female(p- 0.042), Indoor employed group(p-0.001 ), more common in left side, high BMI(p-0.002), more common in DM(p-0.045 ),HTN(p-0.049), low calcium(p-0.002) and not significantly associated with co-morbidities like hypothyroidism (p-0.687), an addiction like alcohol (p-0.976 ), smoking (p-0.966 ). The limitations of our study include the relatively small sample size and a possible selection bias, as the study included 39 patients admitted with distal radius fracture to a tertiary care hospital in 1 year
Conclusion: The incidence of hypovitaminosis D is high among patients with distal radius fracture and associated with age and sex above 50 years age and high BMI, Indoor employed, co-morbidities (DM, HTN), low serum calcium level and not significantly associated with, hypothyroidism and an addiction like (alcohol and smoking).Increasing awareness about prevention as well as detection and treatment of vitamin D deficiency is recommended.
Keywords: Hypovitaminosis D, serum calcium level, Distal radius fracture.
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| How to Cite this article: Perke GV, Shyam A, Panchwagh Y, Sancheti P. To study the incidence and correlation of hypovitaminosis ‘D’ in distal radius fracture in patients above 50 years age. Journal of Trauma and Orthopaedic Surgery Jul-Sep 2020;15(3): 12-15. |