THE EFFECT OF VITAMIN D SUPPLEMENTATION ON EARLY RESULTS OF CONSERVATIVE TREATMENT OF RADIUS DISTAL FRACTURES IN ELDERLY PATIENTS

Yıl 2023, Cilt: 9 Sayı: 2, 51 - 62, 31.08.2023

Mahmut Kürşat Özşahin , Cumhur Deniz Davulcu , Mehmet Can Ünlü

Öz

BACKGROUND: Radial distal fractures are common in older postmenopausal women and fractures are caused by low-energy trauma. Vitamin D deficiency is common in societies with, especially where UV exposure is reduced. This study aimed to investigate the effect of vitamin D supplementation on functional outcomes and handgrip strength in women aged 50 years and older with vitamin D deficiency.

METHODS: For this purpose, 20 conservatively treated female patients aged 50 years and over who were admitted to our clinic after trauma and diagnosed as distal radius fracture were evaluated. Functional results were evaluated by DASH and Gartland Werley scores. Radiological evaluation and measurements were made on the latest radiographs. Handgrip strength was measured with the JAMAR hand dynamometer. The values obtained were evaluated according to whether or not patients received vitamin D supplementation.

RESULTS: The mean DASH f / s scores of the patients with vitamin D supplementation were 8.36 ± 9.83; In cases without vitamin D supplementation, it was 19.50 ± 12.17. There was a statistically significant difference between DASH f / s scores (p = 0.034).

CONCLUSIONS: It has been shown that vitamin D supplementation positively affects functional scores after distal radius fracture in women over 50 years of age with vitamin D deficiency or insufficiency. We recommend vitamin D supplementation in these patients.

Anahtar Kelimeler

Vitamin D supplementation, distal radius fracture, older postmenopausal women, functional scores

Kaynakça

• 1. Cohen MS, Jupiter JB. Fractures of the Distal Radius. Editör: Browner BD, Jupiter JB, Levine AM, Trafton PG, Krettek C, Skeletal Trauma. 4th ed. Philadelphia: Elsevier; 2009. s. 1405–58.
• 1. Cohen MS, Jupiter JB. Fractures of the Distal Radius. Editör: Browner BD, Jupiter JB, Levine AM, Trafton PG, Krettek C, Skeletal Trauma. 4th ed. Philadelphia: Elsevier; 2009. s. 1405–58.
• 2. Ceglia L, Harris SS. Vitamin D and its role in skeletal muscle. Calcif Tissue Int. 2013 Mar;92(2):151–62.
• 2. Ceglia L, Harris SS. Vitamin D and its role in skeletal muscle. Calcif Tissue Int. 2013 Mar;92(2):151–62.
• 3. Lips P. Vitamin D status and nutrition in Europe and Asia. J Steroid Biochem Mol Biol. 2007 Mar;103(3-5):620–5.
• 3. Lips P. Vitamin D status and nutrition in Europe and Asia. J Steroid Biochem Mol Biol. 2007 Mar;103(3-5):620–5.
• 4. Jang WY, Chung MS, Baek GH, Song CH, Cho HE, Gong HS. Vitamin D levels in post-menopausal Korean women with a distal radius fracture. Injury. Elsevier Ltd; 2012 Mar;43(2):237–41.
• 4. Jang WY, Chung MS, Baek GH, Song CH, Cho HE, Gong HS. Vitamin D levels in post-menopausal Korean women with a distal radius fracture. Injury. Elsevier Ltd; 2012 Mar;43(2):237–41.
• 5. Øyen J, Apalset EM, Gjesdal CG, Brudvik C, Lie SA, Hove LM. Vitamin D inadequacy is associated with low-energy distal radius fractures: A case-control study. Bone. Elsevier Inc.; 2011 May 1;48(5):1140–5.
• 5. Øyen J, Apalset EM, Gjesdal CG, Brudvik C, Lie SA, Hove LM. Vitamin D inadequacy is associated with low-energy distal radius fractures: A case-control study. Bone. Elsevier Inc.; 2011 May 1;48(5):1140–5.
• 6. Amorosa LF, Vitale M a., Brown S, Kaufmann R a. A functional outcomes survey of elderly patients who sustained distal radius fractures. Hand. 2011 Sep [;6(3):260–7.
• 6. Amorosa LF, Vitale M a., Brown S, Kaufmann R a. A functional outcomes survey of elderly patients who sustained distal radius fractures. Hand. 2011 Sep [;6(3):260–7.
• 7. Lee HJ, Gong HS, Song CH, Lee JE, Lee YH, Baek GH. Evaluation of vitamin D level and grip strength recovery in women with a distal radius fracture. J Hand Surg Am. Elsevier Inc.; 2013 Mar ;38(3):519–25.
• 7. Lee HJ, Gong HS, Song CH, Lee JE, Lee YH, Baek GH. Evaluation of vitamin D level and grip strength recovery in women with a distal radius fracture. J Hand Surg Am. Elsevier Inc.; 2013 Mar ;38(3):519–25.
• 8. Sözen T, Yavuz DG, Ataca A, Hekimsoy Z, Altun BU. Metabolik Kemik Hastalıkları Tanı ve Tedavi Kılavuzu. 1st ed. Editör: Sözen T,. Ankara: Gallenoz Yayınevi; 2012.
• 8. Sözen T, Yavuz DG, Ataca A, Hekimsoy Z, Altun BU. Metabolik Kemik Hastalıkları Tanı ve Tedavi Kılavuzu. 1st ed. Editör: Sözen T,. Ankara: Gallenoz Yayınevi; 2012.
• 9. Bohannon RW, Peolsson A, Massy-Westropp N, Desrosiers J, Bear-Lehman J. Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy . 2006 Mar;92(1):11–5.
• 9. Bohannon RW, Peolsson A, Massy-Westropp N, Desrosiers J, Bear-Lehman J. Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy . 2006 Mar;92(1):11–5.
• 10. Düger T, Yakut E, Öksüz Ç, Yörükan S, Bilgütay BS, Leblebicioglu G, et al. Kol , Omuz ve El Sorunları ( Disabilities of the Arm , Shoulder and Hand - DASH ) Anketi Türkçe uyarlamasının güvenirliği ve geçerliği. Fiz ve Rehabil. 2006;17(3):99–107.
• 10. Düger T, Yakut E, Öksüz Ç, Yörükan S, Bilgütay BS, Leblebicioglu G, et al. Kol , Omuz ve El Sorunları ( Disabilities of the Arm , Shoulder and Hand - DASH ) Anketi Türkçe uyarlamasının güvenirliği ve geçerliği. Fiz ve Rehabil. 2006;17(3):99–107.
• 11. Gartland John J, Werley Charles W. Evaluation of Healed Colles’ Fractures. J Bone Jt Surg. 1951;33(4):895–907.
• 11. Gartland John J, Werley Charles W. Evaluation of Healed Colles’ Fractures. J Bone Jt Surg. 1951;33(4):895–907.
• 12. Stewart HD, Innes AR, Burke FD. Functional Cast-Bracing for Colles’ Fractures. A Comparison Between Cast-Bracing and Conventional Plaster Casts. J Bone Jt Surg Br. 1984;66(5):749–53.
• 12. Stewart HD, Innes AR, Burke FD. Functional Cast-Bracing for Colles’ Fractures. A Comparison Between Cast-Bracing and Conventional Plaster Casts. J Bone Jt Surg Br. 1984;66(5):749–53.
• 13. Doetsch AM, Faber J, Lynnerup N, Wätjen I, Bliddal H, Danneskiold-Samsøe B. The effect of calcium and vitamin D3 supplementation on the healing of the proximal humerus fracture: a randomized placebo-controlled study. Calcif Tissue Int. 2004 Sep ;75(3):183–8.
• 13. Doetsch AM, Faber J, Lynnerup N, Wätjen I, Bliddal H, Danneskiold-Samsøe B. The effect of calcium and vitamin D3 supplementation on the healing of the proximal humerus fracture: a randomized placebo-controlled study. Calcif Tissue Int. 2004 Sep ;75(3):183–8.
• 14. Kolb JP, Schilling AF, Bischoff J, Novo de Oliveira A, Spiro A, Hoffmann M, et al. Calcium homeostasis influences radiological fracture healing in postmenopausal women. Arch Orthop Trauma Surg. 2013 Feb ;133(2):187–92.
• 14. Kolb JP, Schilling AF, Bischoff J, Novo de Oliveira A, Spiro A, Hoffmann M, et al. Calcium homeostasis influences radiological fracture healing in postmenopausal women. Arch Orthop Trauma Surg. 2013 Feb ;133(2):187–92.
• 15. Bringhurst F, Demay M, Kronenberg H. Hormones and disorders of mineral metabolism. In: Melmed S, Polonsky K, Larsen P, Kronenberg H, editors. Williams Textbook of Endocrinology. 12th ed. Philadelphia: Elsevier; 2011.
• 15. Bringhurst F, Demay M, Kronenberg H. Hormones and disorders of mineral metabolism. In: Melmed S, Polonsky K, Larsen P, Kronenberg H, editors. Williams Textbook of Endocrinology. 12th ed. Philadelphia: Elsevier; 2011.
• 16. Lips P. Vitamin D Deficiency and Secondary Hyperparathy- roidism in the Elderly : Consequences for Bone Loss and Fractures and Therapeutic Implications. Endocr Rev. 2001;22(4):477–501.
• 16. Lips P. Vitamin D Deficiency and Secondary Hyperparathy- roidism in the Elderly : Consequences for Bone Loss and Fractures and Therapeutic Implications. Endocr Rev. 2001;22(4):477–501.
• 17. Smedshaug GB, Pedersen JI, Meyer HE. Can vitamin D supplementation improve grip strength in elderly nursing home residents? A double-blinded controlled trial. Scand J Food Nutr. 2007;51(2):74–8.
• 17. Smedshaug GB, Pedersen JI, Meyer HE. Can vitamin D supplementation improve grip strength in elderly nursing home residents? A double-blinded controlled trial. Scand J Food Nutr. 2007;51(2):74–8.
• 18. Roh YH, Lee BK, Noh JH, Oh JH, Gong HS, Baek GH. Factors delaying recovery after volar plate fixation of distal radius fractures. J Hand Surg Am. 2014 Aug;39(8):1465–70.
• 18. Roh YH, Lee BK, Noh JH, Oh JH, Gong HS, Baek GH. Factors delaying recovery after volar plate fixation of distal radius fractures. J Hand Surg Am. 2014 Aug;39(8):1465–70.
• 19. Brogren E, Hofer M, Petranek M, Dahlin LB, Atroshi I. Fractures of the distal radius in women aged 50 to 75 years: natural course of patient-reported outcome, wrist motion and grip strength between 1 year and 2-4 years after fracture. J Hand Surg Eur Vol. 2011 Sep ;36(7):568–76.
• 19. Brogren E, Hofer M, Petranek M, Dahlin LB, Atroshi I. Fractures of the distal radius in women aged 50 to 75 years: natural course of patient-reported outcome, wrist motion and grip strength between 1 year and 2-4 years after fracture. J Hand Surg Eur Vol. 2011 Sep ;36(7):568–76.
• 20. Marcheix P-S, Dotzis A, Benkö P-E, Siegler J, Arnaud J-P, Charissoux J-L. Extension fractures of the distal radius in patients older than 50: a prospective randomized study comparing fixation using mixed pins or a palmar fixed-angle plate. J Hand Surg Eur Vol. 2010 Oct;35(8):646–51
• 20. Marcheix P-S, Dotzis A, Benkö P-E, Siegler J, Arnaud J-P, Charissoux J-L. Extension fractures of the distal radius in patients older than 50: a prospective randomized study comparing fixation using mixed pins or a palmar fixed-angle plate. J Hand Surg Eur Vol. 2010 Oct;35(8):646–51
• 21. Egol KA, Walsh M, Romo-Cardoso S, Dorsky S, Paksima N. Distal radial fractures in the elderly: operative compared with nonoperative treatment. J Bone Joint Surg Am. 2010 Aug 4;92(9):1851–7.
• 21. Egol KA, Walsh M, Romo-Cardoso S, Dorsky S, Paksima N. Distal radial fractures in the elderly: operative compared with nonoperative treatment. J Bone Joint Surg Am. 2010 Aug 4;92(9):1851–7.
• 22. Sharma H, Khare GN, Singh S, Ramaswamy AG, Kumaraswamy V, Singh AK. Outcomes and complications of fractures of distal radius (AO type B and C): volar plating versus nonoperative treatment. J Orthop Sci . 2014 Jul;19(4):537–44.
• 22. Sharma H, Khare GN, Singh S, Ramaswamy AG, Kumaraswamy V, Singh AK. Outcomes and complications of fractures of distal radius (AO type B and C): volar plating versus nonoperative treatment. J Orthop Sci . 2014 Jul;19(4):537–44.
• 23. Frequently Asked Questions | DASH [İnternet]. [site edildiği tarih 2015 Ocak 5]. Erişim linki: http://dash.iwh.on.ca/faq
• 23. Frequently Asked Questions | DASH [İnternet]. [site edildiği tarih 2015 Ocak 5]. Erişim linki: http://dash.iwh.on.ca/faq
• 24. Franchignoni F, Vercelli S, Giordano A, Sartorio F, Bravini E, Ferriero G. Minimal clinically important difference of the disabilities of the arm, shoulder and hand outcome measure (DASH) and its shortened version (QuickDASH). J Orthop Sports Phys Ther . 2014 Jan;44(1):30–9.
• 24. Franchignoni F, Vercelli S, Giordano A, Sartorio F, Bravini E, Ferriero G. Minimal clinically important difference of the disabilities of the arm, shoulder and hand outcome measure (DASH) and its shortened version (QuickDASH). J Orthop Sports Phys Ther . 2014 Jan;44(1):30–9.
• 25. Stewart HD, Innes a R, Burke FD. Factors affecting the outcome of Colles’ fracture: an anatomical and functional study. Injury. 1985;16(5):289–95.
• 25. Stewart HD, Innes a R, Burke FD. Factors affecting the outcome of Colles’ fracture: an anatomical and functional study. Injury. 1985;16(5):289–95.
• 26. Gartland John J, Werley Charles W. Evaluation of Healed Colles’ Fractures. J Bone Jt Surg. 1951;33(4):895–907.
• 26. Gartland John J, Werley Charles W. Evaluation of Healed Colles’ Fractures. J Bone Jt Surg. 1951;33(4):895–907.