en
Scientific article
Review
Open access
English

How can the orthopedic surgeon ensure optimal vitamin D status in patients operated for an osteoporotic fracture?

Published inOsteoporosis International, vol. 32, no. 10, p. 1921-1935
Publication date2021
Abstract

In 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.

Keywords
  • Fracture healing
  • Fracture liaison service
  • Fragility fracture
  • Rehabilitation
  • Vitamin D
Citation (ISO format)
CHEVALLEY, Thierry et al. How can the orthopedic surgeon ensure optimal vitamin D status in patients operated for an osteoporotic fracture? In: Osteoporosis International, 2021, vol. 32, n° 10, p. 1921–1935. doi: 10.1007/s00198-021-05957-9
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Article (Published version)
Identifiers
ISSN of the journal0937-941X
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