Hypovitaminosis D in lower extremity Joint Arthroplasty: A systematic review and meta-analysis

被引:18
作者
Emara, Ahmed K. [1 ]
Nageeb, Emmanuel [1 ]
George, Jaiben [1 ]
Buttaro, Martin A. [3 ]
Higuera, Carlos [1 ]
Piuzzi, Nicolas S. [1 ,2 ]
机构
[1] Cleveland Clin, Dept Orthoped Surg, 9500 Euclid Ave A41, Cleveland, OH 44195 USA
[2] Inst Univ Hosp Italiano Buenos Aires, Buenos Aires, DF, Argentina
[3] Hosp Italiano Buenos Aires, Hip Surg Unit Sir John Charnley, Buenos Aires, DF, Argentina
关键词
Vitamin-D; Total hip arthroplasty; Total knee arthroplasty; Vitamin-D deficiency; Hypovitaminosis-D; VITAMIN-D SUPPLEMENTATION; TOTAL KNEE ARTHROPLASTY; TOTAL HIP; D DEFICIENCY; FUNCTIONAL OUTCOMES; CARTILAGE VOLUME; OSTEOARTHRITIS; REPLACEMENT; PREVALENCE; INFECTION;
D O I
10.1016/j.jor.2020.03.010
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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.
引用
收藏
页码:109 / 116
页数:8
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