Tag Archive for: Vitamin D

A Study about the Relationship between Vitamin D Level and Hip Fractures

Vol 5 | Issue 1 | Jan-April 2019 | page: 7-9  |Albert Naveen Anthony, Joe Joseph Cherian, M J Saji.

Author: Albert Naveen Anthony [1], Joe Joseph Cherian [1], M. J Saji [2].

[1] Department of Orthopaedics, St. John’s Medical College Hospital, Sarjapur Road Koramangala, Bangalore. India.
[2] Department of Orthopaedics, Narayana Hridalaya Hospital, H.S.R. Layout, Bangalore.

Address of Correspondence
Dr. Joe Joseph Cherian,
Dept. of Orthopaedics, St. John’s Medical College Hospital, Sarjapur Road, Koramangala,
Bangalore – 560034 Karnataka State. India.
E-mail- cherianjoe71@gmail.com


Introduction: Hip fractures are devastating injuries that most often affect the elderly and have a tremendous impact on both the healthcare system and society in general. The role of calcium and Vitamin D deficiency in bone metabolism is known and hence the necessity for further evaluation and studies to check its influence in hip fractures.
Method: A descriptive type of study was conducted between October 2012 and July 2014 in St. John’s Medical College and Hospital. Patients who fulfilled the inclusion criteria were included in the study. Once the diagnosis of hip fractures was made then following tests were done on day 1 of admission – Vitamin D (CLIA method), calcium, phosphate, and alkaline phosphatase.
Results: The study also showed that the incidence of the neck of femur fracture was comparable with intertrochanteric fractures. While neck of femur fractures was more common in female patients, while intertrochanteric fracture was common in male patients. These fractures were mainly seen in the age group between 61 and 70 years of age. The overall Vitamin D deficiency was 76% among all patients, with more predominance (84.6%) in female patients. Increased grades of fracture injury were seen in both fracture neck of femur and intertrochanteric fractures, when Vitamin D level was below 20 ng/ml
Conclusion: The prevalence of Vitamin D deficiency among hip fractures necessitates correction of its serum value in the body. The treatment of Vitamin D deficiency may decrease the incidence of hip fractures and result in milder grades of fractures. This may help in better management of hip fractures and reduce the financial burden of healthcare costs.
Keywords: Vitamin D, Vitamin D deficiency, Hip fractures


1. Hektoen LF, Saltvedt I, Sletvold O, Helbostad JL, Lurås H, Halsteinli V, et al. One-year health and care costs after hip fracture for homedwelling elderly patients in Norway: Results from the trondheim hip fracture trial. Scand J Public Health 2016;44:791-8.

2. Laird E, Ward M, McSorley E, Strain JJ, Wallace J. Vitamin D and bone health: Potential mechanisms. Nutrients 2010;2:693-724.

3. Bikle DD. Vitamin D and bone. Curr Osteoporos Rep 2012;10:151-9.

4. Jackson RD, LaCroix AZ, Gass M, Wallace RB, Robbins J, Lewis CE, et al. Calcium plus Vitamin D supplementation and the risk of fractures. N Engl J Med 2006;354:669-83.

5. Shinkov A, Borissova AM, Dakovska L, Vlahov J, Kassabova L, Svinarov D, et al. Differences in the prevalence of Vitamin D deficiency and hip fractures in nursing home residents and independently living elderly. Arch Endocrinol Metab 2016;60:217-22.

6. Gorter EA, Hamdy NA, Appelman-Dijkstra NM, Schipper IB. The role of Vitamin D in human fracture healing: A systematic review of the literature. Bone 2014;64:288-97.

7. Lv QB, Gao X, Liu X, Shao ZX, Xu QH, Tang L, et al. The serum 25hydroxyvitamin D levels and hip fracture risk: A meta-analysis of prospective cohort studies. Oncotarget 2017;8:39849-58.

8. Ramason R, Selvaganapathi N, Ismail NH, Wong WC, Rajamoney GN, Chong MS, et al. Prevalence of Vitamin D deficiency in patients with hip fracture seen in an orthogeriatric service in sunny Singapore. Geriatr Orthop Surg Rehabil 2014;5:82-6.

9. de Jong A, Woods K, Suresh M, Porteous M. Vitamin D levels in hip fractures: Rationale and guidelines for rapid substitution therapy. ??? 2012;43:1624.

How to Cite this article:  Anthony A B, Cherian J J, Saji M J. A Study about the Relationship between Vitamin D Level and Hip Fractures. Trauma International JanAprl 2018;5(1):7-9


(Abstract)(Full Text HTML)  (Download PDF)