| Literature DB >> 32255990 |
Ahmed K Emara1, Emmanuel Nageeb1, Jaiben George1, Martin A Buttaro2, Carlos Higuera1, Nicolas S Piuzzi1,3.
Abstract
The purpose of the current systematic review was to identify the prevalence of hypovitaminosis-D in LE-TJA patients; and outline the association between pre-operative hypovitaminosis and post-operative outcomes. A search of PubMed-Medline and the Cochrane-Library databases was performed for literature published before November 27th, 2019. The eighteen studies analyzed had a pooled prevalence for vitamin D insufficiency (20 - <30 ng/mL) and deficiency (<20 ng/mL) of 53.4% and 39.4%, respectively. Hypovitaminosis-D was associated with higher complication rates (p = 0.043), and a greater prevalence among septic versus aseptic revisions (p = 0.016). Therefore, pre-operative screening for hypovitaminosis-D can be beneficial in patients undergoing LE-TJA. LEVEL OF EVIDENCE: Systematic Review (Level III).Entities:
Keywords: Hypovitaminosis-D; Total hip arthroplasty; Total knee arthroplasty; Vitamin-D; Vitamin-D deficiency
Year: 2020 PMID： 32255990 PMCID： PMC7114851 DOI： 10.1016/j.jor.2020.03.010
Source DB: PubMed Journal: J Orthop ISSN： 0972-978X