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Osteologie 2018; 27(03): 123-128
DOI: 10.1055/s-0038-1673533
DOI: 10.1055/s-0038-1673533
Orthopädische Osteologie – Orthopedic Osteology
Vitamin D in Orthopädie und Unfallchirurgie
Vitamin D in Orthopaedics and Trauma SurgeryFurther Information
Publication History
eingereicht:
29 May 2018
angenommen:
04 June 2018
Publication Date:
21 September 2018 (online)
Zusammenfassung
Der Einfluss von Vitamin D im Rahmen der Pathogenese von muskuloskeletalen Erkrankungen ist aktuell ein Thema von hohem wissenschaftlichem Interesse. Nahezu alle Altersschichten der Bevölkerung sind von einer Vitamin-D-Unterversorgung gefährdet. Vitamin D ist ein essenzieller Faktor für die Knochengesundheit und Muskelfunktion, beides Kernelemente der Orthopädie. Zahlreiche Studien zeigten einen möglichen Zusammenhang zwischen dem Serum Vitamin-D-Spiegel und orthopädisch/traumatologischen Krankheitsbildern. In diesen Beobachtungsstudien wurden diverse negative Auswirkungen eines Vitamin-D-Mangels auf das Ergebnis nach Endoprothesenoperationen und den Verlauf orthopädisch/traumatologischer Krankheitsbilder beschrieben. Die vorliegende Arbeit soll einen Überblick über dieses stetig wachsende Themengebiet bieten.
Summary
Vitamin D is a key element in musculoskeletal development, maintenance and function. Sufficient levels of vitamin D correlate with greater bone mineral density, lower rates of osteoporotic fractures and improved neuromuscular interaction. Several epidemiologic studies have identified an increasing number of orthopaedic patients at risk for insufficient serum vitamin D levels, with a high risk for widespread consequences e.g. in bone healing, risk of fracture, periprosthetic infection or post-arthroplastic outcome.
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