Vitamin D, through its action on calcium metabolism, is essential for bone physiology. Vitamin D deficiency can affect muscle function and increase the risk of falls in the elderly, while severe deficiency is common in patients with fragility fractures. Vitamin D and calcium supplementation, in addition to anti-osteoporosis treatment after surgery or conservative treatment, can ensure optimal recovery and survival, especially in patients with a hip fracture. The goal of vitamin D supplementation is to bring the serum 25-(OH)-D concentration above 30 ng/ml. Clinical pathways have been developed to support orthopedic surgeons in improving the medical management of patients after orthopedic/surgical fracture management. Pathways include advising primary care physicians and orthopedic surgeons on diagnostic and therapeutic approaches, promoting their appropriate use without compromising quality of care, and educating patients on non-pharmacological management of their disease (physical therapy, lifestyle habits life and nutrition). This is an observational cohort study that will record data on the use of vitamin D in daily practice in patients with low-energy fractures. The aim of this study is to measure vitamin D levels in the patient and provide these patients according to daily practice with appropriate supplementation for a period of one year, observing if there is a good functional outcome and a reduction in the risks of new fractures.
Study Type
OBSERVATIONAL
Enrollment
30
Cholecalciferol 25000IU/week for 3 months in both groups. 2nd group continues with 25000IU/month for following 3 months.
KAT General Hospital of Attika
Kifissia, Attica, Greece
RECRUITINGEvaluation of Vitamin D levels of the patients after receiving vitamin D supplementation
Measurement of 25(OH)D vitamin
Time frame: 1 month, 3 months, 6 months and 12 months
Evaluation of BMD of the patients after receiving vitamin D supplementation
Measurement of Bone Mineral Density
Time frame: 12 months
PTH
Measurement of blood test of Parathyroid Hormone
Time frame: 1 month, 3 months, 6 months and 12 months
TSH
Measurement of blood test of Thyroid-stimulating Hormone
Time frame: 1 month, 3 months, 6 months and 12 months
Ca
Measurement of blood test of Calcium levels
Time frame: 1 month, 3 months, 6 months and 12 months
P
Measurement of blood test of Phosphorus levels
Time frame: 1 month, 3 months, 6 months and 12 months
ALP
Measurement of blood test of Alkaline phosphatase levels
Time frame: 1 month, 3 months, 6 months and 12 months
Al
Measurement of blood test of Albumin levels
Time frame: 1 month, 3 months, 6 months and 12 months
Mg
Measurement of blood test of Magnesium levels
Time frame: 1 month, 3 months, 6 months and 12 months
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