Evidence map›Paper›PMID 41078665›Full record

ArticleJournal of orthopaedic case reports2025

Correlation between Vitamin D Levels and Healing Time in Lower Limb Fractures.

Romin Memon, Pratik Raj, Mohit Sheoran, Sujit Kumar Singh, Puneet Kamra, Bhavadharani

Abstract read
In one paragraph

Article in Journal of orthopaedic case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

3 citing papers in PubMed.

  1. Article
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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

6 authors.

Romin MemonDepartment of Trauma and Orthopedic, East Suffolk and North Essex Foundation Trust, United Kingdom.
Pratik RajDepartment of Orthopaedics, PGIMS, Rohtak, Haryana, India.
Mohit SheoranDepartment of Orthopaedics, SGT Medical College and Research Institute, Gurugram, Haryana, India.
Sujit Kumar SinghDepartment of Orthopaedics, ASJSATDS Medical College, Fatehpur, Uttar Pradesh, India.
Puneet KamraDepartment of Orthopaedics, SGT Medical College and Research Institute, Gurugram, Haryana, India.
BhavadharaniDepartment of Physiotherapy, Dhanalakshmi Srinivasan University, Samayapuram, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim and Background: Vitamin D plays a central role in calcium-phosphate metabolism and bone healing. Deficiency is common among fracture patients and may contribute to delayed union, particularly in weight-bearing lower-limb fractures. The purpose of this study was to assess the relationship between lower limb fracture healing time and baseline serum Vitamin D levels. Materials and Methods: A prospective, observational, multi-center study was conducted from January 2022 to December 2024. Adult patients with acute lower-limb fractures were enrolled. Within a week following the injury, baseline serum 25-hydroxyvitamin D levels were assessed. The levels of Vitamin D were categorized as adequate (>30 ng/mL), inadequate (20-30 ng/mL), or deficient (<20 ng/mL). Healing time was recorded clinically (pain-free weight bearing) and radiologically (radiographic union scale for tibial fractures score ≥12). Statistical analysis included correlation and regression models. Results: A total of 120 patients (mean age 44.8 ± 13.2 years, M:F = 1.6:1) were included. The mean Vitamin D level was 21.6 ± 8.4 ng/mL; deficiency was present in 45.0%, insufficiency in 31.7%, and sufficiency in 23.3%. The mean healing time was 16.4 ± 3.8 weeks, with faster healing in sufficient patients (14.8 ± 2.9 weeks) compared to insufficient (16.7 ± 3.2 weeks) and deficient (17.9 ± 3.9 weeks) groups (P < 0.001). Vitamin D levels continued to be an independent predictor on regression analysis (β = -0.41, P < 0.001) and had a negative correlation with healing time (r = -0.62, P < 0.001). Conclusion: Higher incidences of delayed union and longer healing durations were linked to lower baseline Vitamin D levels. Patients with lower limb fractures may have better results with routine screening and deficit repair.

Indexed as

bone metabolismfracture healinglower-limb fracturestibia fractureVitamin D

Identifiers

PMID41078665
PMCPMC12514882

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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.