Evidence map›Paper›PMID 32303230›Full record

ArticleBMC musculoskeletal disorders2020

Effect of preoperative vitamin D deficiency on functional outcomes after high tibial osteotomy: a retrospective case control study.

Wonchul Choi, Jae Hwa Kim, Seong-Eun Byun, Han-Seung Ryu, David Rojas

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Wonchul ChoiDepartment of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University, 59, Yatap-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea.
Jae Hwa KimDepartment of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University, 59, Yatap-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea.
Seong-Eun ByunDepartment of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University, 59, Yatap-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea. sonofos@daum.net.
Han-Seung RyuDepartment of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University, 59, Yatap-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea.
David RojasDepartment of Orthopaedic Surgery, Denver Health Medical Center, Denver, CO, USA.

Funding

National Research Foundation of Korea NRF-2018R1C1B5040610
6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the effects of vitamin D deficiency on the functional outcomes following a high tibial osteotomy (HTO).

methodsClinical data of 209 patients (327 knees) who underwent HTO done by a single surgeon were retrospectively registered for the study. Ninety-four patients (94 knees) who underwent HTO were analyzed. Patients were assigned into two groups according to their preoperative serum vitamin D levels (D- Deficiency and S- Sufficient); < 20 ng/ml (group D, N = 48) and ≥ 20 ng/ml (group S, N = 46) respectively. A subjective form of International Knee Documentation Committee (IKDC) score, mechanical alignment, and cartilage status before and 1 year following HTO were studied between groups.

resultsThe mean postoperative IKDC score was significantly higher in group S (p = 0.012). Moreover, the difference of IKDC score between pre- and post- HTO was also significantly higher in group S (p = 0.006). Preoperative vitamin D level and IKDC score did not show a significant correlation. Serum vitamin D level was found to be moderately correlated to postoperative IKDC score (r = 0.342 and, p = 0.001). A moderately positive correlation between serum vitamin D level and improvement of IKDC score following osteotomy was appreciated (r = 0.381 and, p < 0.001).

conclusionPatients with vitamin D deficiency had less satisfactory functional outcomes within 1 year from HTO surgery. Our results suggest that preoperative serum vitamin D level is one of the factors affecting the outcome after HTO. We recommended analyzing serum vitamin D levels as part of the routine workup in patients undergoing HTO.

Indexed as

Preoperative PeriodAgedBone PlatesCartilage, ArticularCase-Control StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedOsteoarthritis, KneeOsteotomyRetrospective StudiesTibiaTreatment OutcomeVitamin D25-hydroxyvitamin DVitamin D25-hydroxy vitamin DFunctional outcomeHigh tibial osteotomyMedial open wedge high tibial osteotomyOsteoarthritisVitamin D

Identifiers

PMID32303230
PMCPMC7165410

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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.