Summary
Blood levels of the active metabolites of vitamin D3, 25-hydroxycholecalciferol [25(OH)D3], 1,25-dihydroxycholecalciferol [1,25(OH)2D3] and 24,25-dihydroxycholecalciferol [24,25(OH)2D3] were determined in seven patients. Two subjects suffered from delayed union of tibial fractures; one showed a delayed union after a proximal tibial osteotomy; one patient suffered from bilateral femoral neck fractures, of which one failed to unite and the other united late; two patients had multiple fractures that united normally; and one patient exhibited staged bilateral femoral neck fractures whose occurrence was separated by a short interval and which united without undue delay. The blood levels of 25(OH)D3 were within the normal range. A relative decrease in 24,25(OH)2D3 values was noted in all patients, whereas in three subjects the decrease was absolute, to non-detectable levels. A decrease in 1,25(OH)2D3 levels was noted in only two patients. We postulate that these changes reflect the consumption of these metabolites during healing at the fracture site.
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Alkalay D, Shany S, Dekel S (1989) Serum and bone vitamin D metabolites in elective patients and patients after fracture. J Bone Joint Surg [Br] 71:85–87
Dekel S, Salama R, Edelstein S (1983) The effect of vitamin D and its metabolites on fracture repair in chicks. Clin Sci 65:429–436
Kanis JA (1982) Vitamin D metabolism and its clinical application. J Bone Joint Surg [Br] 64:542–560
Lidor C, Dekel S, Hallel T, Edelstein S (1987) Levels of active metabolites of vitamin D3 in the callus of fracture repair in chicks. J Bone Joint Surg [Br] 69:132–136
Raisz LG, Kream BE (1983) Regulation of bone formation: first of two parts. N Engl J Med 309:29–35
Raisz LG, Kream BE (1983) Regulation of bone formation: second of two parts. N Engl J Med 309:83–89
Schwartz Z, Soskolne WA, Ornoy A (1986) Physiology of vitamin D. Harefuah 111:437–441
Tauber C, Noff M, Noff D, Malkin C (1989) Active metabolites of vitamin D in patients with coxarthrosis and with aseptic loosening of total hip endoprostheses. Arch Orthop Trauma Surg 108:176–178
Weissman Y, Salama R, Harell A, Edelstein S (1978) Serum 24,25-dihydroxyvitamin D and 25-hydroxyvitamin D concentration in the femoral neck fracture. Br Med J 2:1196–1197
Weissman Y, Schen RJ, Eisenberg Z, Edelstein S, Harrel A (1981) Inadequate status and impaired metabolism of vitamin D in the elderly. Isr J Med Sci 17:19–21
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Tauber, C., Noff, D., Noff, M. et al. Blood levels of active metabolites of vitamin D3 in fracture repair in humans. Arch Orthop Trauma Surg 109, 265–267 (1990). https://doi.org/10.1007/BF00419941
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DOI: https://doi.org/10.1007/BF00419941