Assessment of Correlation of Bone Mineral Density and Vitamin D Status In Patients with Osteoarthritis of the Knee: A Clinical Study
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 3
Abstract
Background: Vitamin D deficiency can be an important risk factor for osteoporosis. On the other hand, an adequate vitamin D level has been shown to prevent osteoporotic fractures. Bone mineral density (BMD), which measures the quantity of the calcified bone, at present is the gold standard technique for the diagnosis of osteopenia and osteoporosis. Hence; we assessed the correlation of bone mineral density & vitamin D status in patients with osteoarthritis of the knee. Materials and Methods: The study was conducted in the Department of Orthopedics, Dr. Suresh Bandil Memorial Orthopaedic and Maternity Research Centre, Gwalior, Madhya Pradesh, India. For the study, we selected patients from the OPD patients at the Orthopedics departmental for knee Pain Assessment and treatment. Patients taking osteotropic medication, with rheumatoid disease, plasmacytoma, nicotine or alcohol abuse, hypercortisolism, hyperthyreosis, primary hyperparathyroidism, hypogonadism were excluded from the study. A total of 50 patients were included in the study. Results: A total of 50 patients were included in the study. The number of male patients were 21 and number of female patients were 29. The mean age of the patients was 72.02 years. The number of patients in group 1 was 16, in group 2 were 19 and in group 3 were 15. The mean age of the patients in group 1, 2 and 3 were 66.37, 71.55, and 78.14 years respectively. In Group 1, nine patients had serum 25(OH)D level at <30 ngml-1 and seven patients at>30 ngml-1. In Group 2, eleven patients had serum 25(OH)D level at <30 ngml-1 and eight patients at >30 ngml-1. In Group 3, ten patients had serum 25(OH)D level at <30 ngml-1 and five patients at >30 ngml-1. Conclusion: Within the limitations of the study we conclude that we should screen patients for osteoporosis in knee pain patients and start treatment early, and thereby reduce the risk of fractures.
Authors and Affiliations
Devesh Bandil, Megha Gupta Bandil
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