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Vitamin D deficiency adversely affects early post-operative functional outcomes after total knee arthroplasty

DC FieldValueLanguage
dc.contributor.author문성환-
dc.contributor.author박관규-
dc.contributor.author신근영-
dc.contributor.author양익환-
dc.contributor.author이우석-
dc.contributor.author최호준-
dc.date.accessioned2018-07-20T08:32:23Z-
dc.date.available2018-07-20T08:32:23Z-
dc.date.issued2017-
dc.identifier.issn0942-2056-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/161272-
dc.description.abstractPURPOSE: Vitamin D has received considerable attention in recent years owing to the increasing evidence of its importance in muscle function and physical performance. The present study attempted to determine whether patients with low serum vitamin D levels had impairment in early functional outcomes following total knee arthroplasty (TKA). METHODS: This was a prospective cohort study that included 92 patients. Patients were divided into two groups according to their vitamin D levels as assessed at the preoperative visit: (1) vitamin D-deficient group, serum 25-hydroxyvitamin D3 (25(OH)D) levels <12 ng/mL; (2) vitamin D non-deficient group, serum 25(OH)D levels ≥12 ng/mL. American Knee Society Score (KSS) and four other performance tests including the alternative step test (AST), six-metre walk test (SMT), sit-to-stand test (STS), and timed up and go test (TUGT) were used for assessment of post-operative function. All assessments were performed one day before and three months after TKA. RESULTS: Of the 92 patients included in the study, 87 patients performed all required assessments. The mean post-operative functional KSS was significantly lesser in the vitamin D-deficient group than in the vitamin D non-deficient group (67.2 vs. 73.4, p = 0.031). The mean values of time taken for post-operative AST (16.6 vs. 14.6 s, p = 0.033) and SMT (8.8 vs. 7.7 s, p = 0.012) were significantly longer in the vitamin D-deficient group than in the vitamin D non-deficient group. Post-operative STS and TUGT demonstrated higher values for mean time taken in the vitamin D-deficient group than in the vitamin D non-deficient group, but these were not statistically significant (13.6 vs. 12.4 s, not significant (n.s.); 12.7 vs. 11.7 s, n.s., respectively). CONCLUSION: Early post-operative functional outcomes following TKA appear to be adversely affected by vitamin D deficiency. LEVEL OF EVIDENCE: Prospective cohort study, Level II.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer International-
dc.relation.isPartOfKNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHArthroplasty, Replacement, Knee/rehabilitation*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHKnee/surgery-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOsteoarthritis, Knee/blood-
dc.subject.MESHOsteoarthritis, Knee/complications-
dc.subject.MESHOsteoarthritis, Knee/surgery*-
dc.subject.MESHPostoperative Period-
dc.subject.MESHProspective Studies-
dc.subject.MESHRecovery of Function-
dc.subject.MESHTime Factors-
dc.subject.MESHVitamin D Deficiency/blood-
dc.subject.MESHVitamin D Deficiency/complications*-
dc.titleVitamin D deficiency adversely affects early post-operative functional outcomes after total knee arthroplasty-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Orthopedic Surgery-
dc.contributor.googleauthorKeun-Young Shin-
dc.contributor.googleauthorKwan Kyu Park-
dc.contributor.googleauthorSeong-Hwan Moon-
dc.contributor.googleauthorIck Hwan Yang-
dc.contributor.googleauthorHo-June Choi-
dc.contributor.googleauthorWoo-Suk Lee-
dc.identifier.doi10.1007/s00167-016-4209-8-
dc.contributor.localIdA01365-
dc.contributor.localIdA01428-
dc.contributor.localIdA04764-
dc.contributor.localIdA02313-
dc.contributor.localIdA02992-
dc.contributor.localIdA05060-
dc.relation.journalcodeJ01945-
dc.identifier.eissn1433-7347-
dc.identifier.pmid27316697-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00167-016-4209-8-
dc.subject.keywordAmerican Knee Society Score-
dc.subject.keywordFunctional outcomes-
dc.subject.keywordPerformance tests-
dc.subject.keywordTotal knee arthroplasty-
dc.subject.keywordVitamin D-
dc.contributor.alternativeNameMoon, Seong Hwan-
dc.contributor.alternativeNamePark, Kwan Kyu-
dc.contributor.alternativeNameShin, Keun-Young-
dc.contributor.alternativeNameYang, Ick Hwan-
dc.contributor.alternativeNameLee, Woo Suk-
dc.contributor.alternativeNameChoi, Ho June-
dc.contributor.affiliatedAuthorMoon, Seong Hwan-
dc.contributor.affiliatedAuthorPark, Kwan Kyu-
dc.contributor.affiliatedAuthorShin, Keun-Young-
dc.contributor.affiliatedAuthorYang, Ick Hwan-
dc.contributor.affiliatedAuthorLee, Woo Suk-
dc.contributor.affiliatedAuthorChoi, Ho June-
dc.citation.volume25-
dc.citation.number11-
dc.citation.startPage3424-
dc.citation.endPage3430-
dc.identifier.bibliographicCitationKNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, Vol.25(11) : 3424-3430, 2017-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers

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