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Vitamin D deficiency in athletes and its impact on outcome of Anterior Cruciate Ligament surgery

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Background

Vitamin D deficiency is a worldwide pandemic problem. With vitamin D having some role in exercise-induced inflammation, skeletal muscle mass and endurance, we studied its effect on functional outcome of athletes’ post-Anterior Cruciate Ligament (ACL) reconstruction.

Methods

A total of 153 patients who underwent primary ACL reconstruction were enrolled in the study. All patients were screened for vitamin D levels preoperatively. Patients were divided into 3 groups on basis of vitamin D levels; Group 1 patients had < 20 ng/ml, group 2 patients 20–30 ng/ml and group 3 > 30 ng/ml. All patients were followed up for a minimum of 2 years.

Results

A total of 153 patients were enrolled in study. The average age of the patients was 24.12 ± 2.12 years in group 1, 25.24 ± 3.20 years in group 2 and 24.74 ± 2.86 in group 3. The mean follow-up of patients was 2.8 ± 1.2 years. At 2 years, the mean Lysholm score was 96.12, 96.49 and 97.0, respectively (p = 0.75); mean WOMAC score was 3.33, 3.38 and 3.20, respectively (p = 0.91); mean difference between the pre-injury and post-surgery Tegner level of sports activity at 2 years follow-up was 0.78, 0.78 and 0.85, respectively (P = 0.51) and graft failure rate was 5.88%, 1.96% and 1.96%, respectively (p = 0.43).

Conclusion

Vitamin D has no effect on functional outcome and graft rupture rates in patients’ post-primary ACL reconstruction.

Level of evidence

Prospective Cohort Study (Level III)

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Authors and Affiliations

  1. Sports Injury Center, Government Medical College Hospital, Chandigarh, India

    Ravi Gupta

  2. Government Medical College and Hospital, Chandigarh, India

    Akash Singhal

  3. Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India

    Anil Kapoor, Vaibhav Bohat, Gladson David Masih & Rohil Mehta

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  1. Ravi Gupta
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  2. Akash Singhal
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  3. Anil Kapoor
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  4. Vaibhav Bohat
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Correspondence to Akash Singhal.

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Conflict of interest

The authors had no conflict of interest related to research and authorship is granted to only those individual who have contributed substantially to the manuscript.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Institutional ethical committee approval was taken before the start of research.

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Informed written consent was received from all the patients.

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This study was conducted among the patients coming to Department of Orthopaedics of GMCH-32, Chandigarh.

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Gupta, R., Singhal, A., Kapoor, A. et al. Vitamin D deficiency in athletes and its impact on outcome of Anterior Cruciate Ligament surgery. Eur J Orthop Surg Traumatol 31, 1193–1197 (2021). https://doi.org/10.1007/s00590-020-02870-5

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  • DOI: https://doi.org/10.1007/s00590-020-02870-5

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