April 10, 2024
1 minute read
Important points:
- Vitamin D-deficient patients had worse functional outcomes after knee arthroplasty compared to vitamin D-sufficient patients.
- Vitamin D supplementation may improve outcomes in patients with this deficiency.
Published results showed that vitamin D deficiency is associated with poorer clinical and functional outcomes after total knee arthroplasty. However, vitamin D supplementation may improve outcomes in patients with this deficiency.
Researchers conducted a systematic review of 10 studies including 146,054 patients who underwent 150,107 primary TKAs and found that vitamin D deficiency was assessed using the WOMAC score, Knee Society Scoring (KSS) system, and American knee We analyzed the effects on outcomes such as arthroplasty score, revision, infection, and postoperative outcomes. Hardness. The researchers also conducted a meta-analysis of three studies to assess the impact on length of stay (LOS).
The researchers found that 4 out of 10 studies reported worse WOMAC, KSS, and American Knee Society scores in patients with vitamin D deficiency compared to patients with sufficient vitamin D. discovered. Four studies also reported an increased risk of revision surgery, joint infection, and postoperative stiffness in patients with vitamin D deficiency.
A meta-analysis of three studies that analyzed LOS showed that patients with vitamin D deficiency had significantly increased LOS compared with those with sufficient vitamin D.
The researchers wrote that vitamin D supplementation improved functional outcomes and reduced the risk of revision surgery and joint infections.
“Although there was heterogeneity in studies, the majority of studies reported increased adverse outcomes with vitamin D deficiency and improved outcomes after vitamin D supplementation,” the researchers wrote in the study. ing.
