Ravi Gupta1, Akash Singhal2, Anil Kapoor3, Vaibhav Bohat3, Gladson David Masih3, Rohil Mehta3. 1. Sports Injury Center, Government Medical College Hospital, Chandigarh, India. 2. Government Medical College and Hospital, Chandigarh, India. akash15636@ymail.com. 3. Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India.
Abstract
BACKGROUND: Vitamin D deficiency is a worldwide pandemic problem. With vitamin D having some role in exercise-induced inflammation, skeletal muscle mass and endurance, we studied its effect on functional outcome of athletes' post-Anterior Cruciate Ligament (ACL) reconstruction. METHODS: A total of 153 patients who underwent primary ACL reconstruction were enrolled in the study. All patients were screened for vitamin D levels preoperatively. Patients were divided into 3 groups on basis of vitamin D levels; Group 1 patients had < 20 ng/ml, group 2 patients 20-30 ng/ml and group 3 > 30 ng/ml. All patients were followed up for a minimum of 2 years. RESULTS: A total of 153 patients were enrolled in study. The average age of the patients was 24.12 ± 2.12 years in group 1, 25.24 ± 3.20 years in group 2 and 24.74 ± 2.86 in group 3. The mean follow-up of patients was 2.8 ± 1.2 years. At 2 years, the mean Lysholm score was 96.12, 96.49 and 97.0, respectively (p = 0.75); mean WOMAC score was 3.33, 3.38 and 3.20, respectively (p = 0.91); mean difference between the pre-injury and post-surgery Tegner level of sports activity at 2 years follow-up was 0.78, 0.78 and 0.85, respectively (P = 0.51) and graft failure rate was 5.88%, 1.96% and 1.96%, respectively (p = 0.43). CONCLUSION: Vitamin D has no effect on functional outcome and graft rupture rates in patients' post-primary ACL reconstruction. LEVEL OF EVIDENCE: Prospective Cohort Study (Level III).
BACKGROUND:Vitamin D deficiency is a worldwide pandemic problem. With vitamin D having some role in exercise-induced inflammation, skeletal muscle mass and endurance, we studied its effect on functional outcome of athletes' post-Anterior Cruciate Ligament (ACL) reconstruction. METHODS: A total of 153 patients who underwent primary ACL reconstruction were enrolled in the study. All patients were screened for vitamin D levels preoperatively. Patients were divided into 3 groups on basis of vitamin D levels; Group 1 patients had < 20 ng/ml, group 2 patients 20-30 ng/ml and group 3 > 30 ng/ml. All patients were followed up for a minimum of 2 years. RESULTS: A total of 153 patients were enrolled in study. The average age of the patients was 24.12 ± 2.12 years in group 1, 25.24 ± 3.20 years in group 2 and 24.74 ± 2.86 in group 3. The mean follow-up of patients was 2.8 ± 1.2 years. At 2 years, the mean Lysholm score was 96.12, 96.49 and 97.0, respectively (p = 0.75); mean WOMAC score was 3.33, 3.38 and 3.20, respectively (p = 0.91); mean difference between the pre-injury and post-surgery Tegner level of sports activity at 2 years follow-up was 0.78, 0.78 and 0.85, respectively (P = 0.51) and graft failure rate was 5.88%, 1.96% and 1.96%, respectively (p = 0.43). CONCLUSION:Vitamin D has no effect on functional outcome and graft rupture rates in patients' post-primary ACL reconstruction. LEVEL OF EVIDENCE: Prospective Cohort Study (Level III).
Authors: John J Cannell; Bruce W Hollis; Marc B Sorenson; Timothy N Taft; John J B Anderson Journal: Med Sci Sports Exerc Date: 2009-05 Impact factor: 5.411