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La vitamina-D para la prevención de fracturas osteoporóticas

Vitamin d for the prevention of osteoporotic fractures

JIMÉNEZ-OLIVARES J, LAJARA MARCO F, GONZÁLEZNAVARRO B, MAHIQUES-SEGURA G, MARTÍN-GRANDES R MARTÍNEZ-MÉNDEZ D 1 SERVICIO DE CIRUGÍA ORTOPÉDICA, HOSPITAL VEGA BAJA DE ORIHUELA (ALICANTE) 2 SERVICIO DE CIRUGÍA ORTOPÉDICA, HOSPITAL REINA SOFÍA (MURCIA) 3 TRAUMATOLOGÍA Y ORTOPEDIA. UNIVERSIDAD MIGUEL HERNÁNDEZ DE ELCHE (ALICANTE)
Recepción:
12/07/2022
Aceptación:
12/07/2022
Publicación:
12/07/2022


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Resumen (ES)

Introduction: The objective of this study was to show the initial results of an oral vitamin-D and calcium supplementation
program in patients who had suffered a hip fracture for the prevention of subsequent fractures considered osteoporotic.
Method: Prospective comparative cohorts study in patients older than 65 operated for hip fracture. The patients were
divided into two groups according to the serum level of vitamin-D at admission: 1) hypovit-D group, 58 patients who were
prescribed oral vitamin-D and calcium at discharge; 2) control group, 13 patients with a normal level of vitamin-D who did
not have that supplementation. Results: The sample size could not be completed due to the scarcity of patients with
normal vitamin-D levels. The subsequent fracture rate in the following two years was 20.7% in the hypovit-D group and
15.4% in control group, with no significant difference (p = 0.664). Conclusion: provisionally, with the available data, oral
vitamin-D and calcium supplementation have not shown effectiveness in preventing a subsequent hip fracture.

Palabras clave (ES):

Fractura
cadera;
fractura
fragilidad;
osteoporosis;
osteopenia;
vitamin
D

Resumen (EN)

Introduction: The objective of this study was to show the initial results of an oral vitamin-D and calcium supplementation
program in patients who had suffered a hip fracture for the prevention of subsequent fractures considered osteoporotic.
Method: Prospective comparative cohorts study in patients older than 65 operated for hip fracture. The patients were
divided into two groups according to the serum level of vitamin-D at admission: 1) hypovit-D group, 58 patients who were
prescribed oral vitamin-D and calcium at discharge; 2) control group, 13 patients with a normal level of vitamin-D who did
not have that supplementation. Results: The sample size could not be completed due to the scarcity of patients with
normal vitamin-D levels. The subsequent fracture rate in the following two years was 20.7% in the hypovit-D group and
15.4% in control group, with no significant difference (p = 0.664). Conclusion: provisionally, with the available data, oral
vitamin-D and calcium supplementation have not shown effectiveness in preventing a subsequent hip fracture.

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