Vitamin D levels in ununited fractures.

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Leandro Ariel Salcedo Zunino
Maria del Pilar Diaz
Fernando Vanoli
Bernardo Murillo
Christian Allende

Abstract

Introduction: Absence of bone union after a fracture is generally multifactorial.Objective: To determine reference vitamin-D values (25 OH D3) in nonunions, and study its association with age and localization.Methods: A prospective, observational and descriptive study was performed, in which 29 patients with fracture nonunions were evaluated (26 male and 3 female). Serum vitamin-D levels (25 OH D3) were determined together with standard preoperative studies. Generalized models we used to estimate the effects of age and location, as well as detection of the group of patients with levels lower than recommended.Results: 68,9% of patients had serum levels of vitamin-D lower than the normal value of 30,0 ng/mL, which was inversely associated with age, being the age of 40 the cut point from which other characteristics, like location, conditioned simultaneously the nonunion.Conclusion: the majority of patients that developed a nonunion of their fractures had vitamin-D deficiency, and this phenomenon was more evident in patients older than 40 years. Prompt identification of patients with increased risk of presenting this deficiency is important, as its treatment could reduce the incidence of fractures that evolve into a nonunion.

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How to Cite
Salcedo Zunino, L. A., Diaz, M. del P., Vanoli, F., Murillo, B., & Allende, C. (2016). Vitamin D levels in ununited fractures. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 81(3), 163-169. https://doi.org/10.15417/576
Section
Clinical Research
Author Biographies

Leandro Ariel Salcedo Zunino, Sanatorio Allende - Instituto Allende de Cirugía Reconstructiva de los Miembros

Ex residente de Ortopedia y Traumatología del Sanatorio Allende.

Maria del Pilar Diaz, Sanatorio Allende - Instituto Allende de Cirugía Reconstructiva de los Miembros

Médica, estadística de servicio de Ortopedia y Traumatología.

Fernando Vanoli, Sanatorio Allende - Instituto Allende de Cirugía Reconstructiva de los Miembros

Médico residente de 2º año en Sanatorio Allende.

Bernardo Murillo, Sanatorio Allende - Instituto Allende de Cirugía Reconstructiva de los Miembros

Médico residente del Sanatorio Allende.

Christian Allende, Sanatorio Allende - Instituto Allende de Cirugía Reconstructiva de los Miembros

Doctor en medicina Especialista en Ortopedia y Traumatología Especialista en Miembro SuperiorMédico de planta. Instituto Allende, Departamento de Miembro Superior y Cirugía Reconstructiva de los Miembros,Servicio de Ortopedia y Traumatología, Sanatorio Allende Córdoba

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