Evidence map›Paper›PMID 27247739›Full record

ArticleClinics in orthopedic surgery2016

Effect of Preoperative Vitamin D Levels on Functional Performance after Total Knee Arthroplasty.

Rajesh Navin Maniar, Aniket Machindra Patil, Adit Rajesh Maniar, Bharat Gangaraju, Jaivardhan Singh

Open access · diamondAbstract read
In one paragraph

Article in Clinics in orthopedic surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  4. Osteoporosis and osteoporosis therapies as determinants of implant fixation failure in arthroplasty and spinal fusion constructs: a position statement from the Fracture Working Group of the Council of Scientific Advisors of the International Osteoporosis Foundation.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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  15. How can the orthopedic surgeon ensure optimal vitamin D status in patients operated for an osteoporotic fracture?Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 1 country.

Rajesh Navin ManiarDepartment of Orthopedics, Lilavati Hospital and Research Centre, Mumbai, India.
Aniket Machindra PatilDepartment of Orthopaedics, Bharati Vidyapeeth Deemed University Medical College and Hospital, Pune, India.
Adit Rajesh ManiarKing Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Mumbai, India.
Bharat GangarajuDepartment of Orthopaedics, MGM New Bombay Hospital, Mumbai, India.
Jaivardhan SinghDepartment of Orthopaedics, Agarwal Ramkrishna Care Hospital, Raipur, India.
Bharati Vidyapeeth Deemed University · INBombay Hospital · INKing Edward Memorial Hospital and Seth G.S. Medical College · INLilavati Hospital & Research Centre · INRamakrishna Mission Vidyamandira · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow vitamin D levels affects muscle function. Vitamin D and calcium deficiency cause osteomalacic myopathy and poor functional recovery after hip fractures. The relationship of vitamin D and functional performance after total knee arthroplasty (TKA) is not previously reported.

methodsInfluence of vitamin D on functional performance before and after TKA was reviewed retrospectively in 120 patients. Of these, 64 had vitamin D deficiency (25-hydroxy vitamin D < 30 ng/mL) preoperatively. All 120 patients received vitamin D oral supplementation postoperatively. Functional parameters including Western Ontario and McMaster Osteoarthritis Index (WOMAC), Short-Form Health Survey questionnaire, and Knee Society Score were assessed pre- and postoperatively at 3 months.

resultsPreoperative function was significantly lower in osteoarthritic patients with vitamin D deficiency (WOMAC score; p = 0.040), but at 3 months all functional scores were similar.

conclusionsWe concluded that vitamin D deficiency has a negative effect on function in knee osteoarthritic patients. However, postoperative vitamin D supplementation can lead to functional recovery in these patients. Thus, TKA should not be delayed in vitamin D deficient patients; rather supplementation in the postoperative period is preferable to achieve comparable functional outcome at 3 months to patients with vitamin D sufficiency.

Indexed as

AgedArthroplasty, Replacement, KneeFemaleHumansKnee JointMaleRange of Motion, ArticularSurveys and QuestionnairesVitamin DVitamin DDeficiencyKnee replacement arthroplastyOsteoarthritisVitamin D

Identifiers

PMID27247739
PMCPMC4870317
OpenAlexW2291165395

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.