1DNB Resident, Dept. of Orthopaedics, Unique Super Speciality Hospital, Indore, M.P.
2Associate Professor, Dept. of Orthopaedics, Index Medical College, Indore, M.P.
3Head of Orthopaedic Department, Dept. of Orthopaedics, Unique Super Speciality Hospital, Indore, M.P.
*Corresponding Author E-mail: mohitdua29@gmail.com
Online published on 26 August, 2016.
In the skin, under influence of ultraviolet radiation, 7-dehydrocholesterol is photoconverted to previtaminD3, which is converted to Vitamin D3 (cholecalciferol). In the serum, bound to a Vitamin D binding protein (VDBP), Vitamin D3 is transported to the liver, where it is hydroxylated to 25(OH)D3. In the kidneys, 25(OH)D3 is further metabolized to 1α, 25dihydroxyvitaminD3 [1, 25(OH)D3], the biologically active form of Vitamin D. Vitamin D (Cholecalciferol) is known to contribute to muscular function. In the past decade, various cases of both young and elderly adults have been described, in whom prolonged vitamin D deficiency was associated with severe muscle weakness, often leading to marked disability that improved within several weeks of vitamin D supplementation. However, few studies have been conducted in which muscle strength was objectively quantified in relation to vitamin D status in elderly people. The purpose of this study was to determine whether the supplementation of vitamin D is associated with grip strength recovery in Post-Menopausal Women after a Distal End Radius fracture treated with Closed Reduction and Percutaneous K-wire fixation.
In this comparative study, Two groups were formed, First group as a case in which vitamin D was supplemented and second group as control in which Vitamin D was not supplemented, both the group had 25 number of postmenopausal women who had Vitamin D level between sufficient range (30-100ng/ml) and were treated with same mode of treatment (closed reduction and Percutaneous K-wire fixation) for Distal end radius fracture. Grip strength recovery (in %) was compared in both the group after a period of 6 months.
Final grip strength recovery of all patients came out to be 67%, out of which, in supplemented group it came out to be 73% while in non-supplemented group came out to be 60% with p value of statistically significance proving major difference in grip strength recovery in % at 6 months in both the groups
We concluded with our series that vitamin D supplementation significantly helps in improving the grip strength recovery in Post-menopausal women after a Distal End Radius fracture treated with Closed Reduction and Percutaneous K-wire fixation.
