Surgical Considerations for Vitamin D Deficiency in Foot and Ankle Surgery.

Kenneth DeFontes, Jeremy T Smith

Journal: The Orthopedic clinics of North America 2019;50(2):259-267

PMID: 30850083

Full Text on Elsevier Science View on PubMed

Abstract

Vitamin D deficiency affects nearly one-sixth of the world's population and is common in patients undergoing foot and ankle surgery. Vitamin D is critical for calcium homeostasis and plays an important role in the maintenance of bone health. Patients undergoing foot and ankle procedures can be evaluated preoperatively with vitamin D level testing, and deficiencies can be addressed with either preoperative or postoperative supplementation. Current data suggest that patients with adequate vitamin D levels may have better outcomes, but the details are not yet clear. Vitamin D supplementation is well tolerated with rare side effects.

Address: Department of Orthopaedics, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA; Towson Orthopaedic Associates, Ruxton Professional Center, 8322 Bellona Avenue, Suite 100, Towson, MD 21204, USA.; Department of Orthopaedics, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address: [email protected].

DOI: 10.1016/j.ocl.2018.10.008

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MeSH Terms: Ankle, Ankle Joint, Elective Surgical Procedures, Foot, Humans, Prospective Studies, Retrospective Studies, Vitamin D, Vitamin D Deficiency