• 作者：M. Mesa-Ramos^a ; ^e ; ^{mmesar@hotmail.com} ; J.R. Caeiro-Rey^b ; ^e ; I. Etxebarr&#237 ; a-Foronda^c ; ^e ; P. Carpintero-Ben&#237 ; tez^d ; ^e
• 关键词：Vitamina D ; Fractura ; Artroplastia
• 刊名：Revista Espa?ola de Cirug¨ªa Ortop¨¦dica y Traumatolog¨ªa
• 出版年：2012
• 出版时间：March-April, 2012
• 年：2012
• 卷：56
• 期：2
• 页码：164-173
• 全文大小：408 K

Vitamin D deficiency or insufficiency is a clinical problem particularly prevalent in elderly patients with low-energy fractures, particularly hip fractures, but has also been associated with stress fractures and high energy fractures.

There is much evidence that supports the need to maintain adequate levels of vitamin D in the blood in order to; reduce the number of fragility fractures, furthering the consolidation of these, improve neuromuscular function of patients, prevent falls, prevent surgical infections, or improve the length of arthroplasties.

However, it is rare for the orthopaedic surgeon to request the values of vitamin D in these patients and give the appropriate treatment

It is recommended to maintain levels higher than 30-40 ng/ml (75-100 nmol/l) and increase vitamin D intake, in almost all cases, from 800 to 1,000 IU/day to achieve these levels.