Evaluation of co-relation between hip fractures and vitamin D level

Pragnesh Patel, Vimal P. Gandhi


Background: Hip fractures are devastating injuries that most often affect the elderly and have a tremendous impact on both the health care system and society in general. Approximately 97% occur in patients over 50 years of age. It has been a general belief that rickets and vitamin D deficiency are uncommon problems in India because of abundant sunshine. Hence the aim was to identify patients with hip fractures and to attain the vitamin D levels in these patients.

Methods: The study was a descriptive type of study. Patients who fulfilled the inclusion criteria were included in the study. A total of 154 patients were included in the study. Patients were assessed clinically, with a thorough history and physical examination. The symptoms and signs elicited were recorded in a performa.

Results: Neck of femur (NOF) was more common in female patients and intertrochanteric (IT) fracture was common in male patients. These fractures were mainly seen in the age group between 61 to 70 years of age for hip fractures. It was also noted that anaemia was prevalent in both male and female patients and the overall vitamin D deficiency was 76% of the total number of patients with more predominant (84.6%) in female patients.

Conclusions: Treatment of the vitamin D deficiency reduces the chances of fall, morbidity and financial burden on the patient when fractures occur. The treatment of vitamin D deficiency will improve the quality of life overall. Hence the need for food fortification and supplementation in elderly Indian population.


Femur, Vitamin D deficiency, Hip fractures

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Mattila R. Hip and knee replacement implants: information package for nurses: Hoitonetti. Semin Scholar. 2012.

Robinson C, Court-Brown CM, McQueen M, Christie J. Hip fractures in adults younger than 50 years of age. Epidemiology and results. Clin Orthop Relat Res. 1995;(312):238-46.

Lu Y, Uppal HS. Hip fractures: relevant anatomy, classification, and biomechanics of fracture and fixation. Geriatr Orthop Surg Rehabil. 2019;10:2151459319859139.

Schnell S, Friedman SM, Mendelson DA, Bingham KW, Kates SL. The 1-year mortality of patients treated in a hip fracture program for elders. Geriatr Orthop Surg Rehabil. 2010;1(1):6-14.

Harinarayan C, Joshi SR. Vitamin D status in India-its implications and remedial measures. JAPI. 2009;57:40-8.

Kochupillai N. The physiology of vitamin D: current concepts. Indian J Med Res. 2008;127(3):256-62.

Roth DE, Abrams SA, Aloia J, Bergeron G, Bourassa MW, Brown KH, et al. Global prevalence and disease burden of vitamin D deficiency: a roadmap for action in low-and middle-income countries. Ann N Y Acad Sci. 2018;1430(1):44-79.

Kanis JA, Johnell O, Odén A, Johansson H, Laet CD, Eisman J, et al. Smoking and fracture risk: a meta-analysis. Osteoporos Int. 2005;16(2):155-62.

Sözen T, Özışık L, Başaran NÇ. An overview and management of osteoporosis. Eur J Rheumatol. 2017;4(1):46-56.

Kannus P, Palvanen M, Niemi S, Parkkari J, Järvinen M. Epidemiology of osteoporotic pelvic fractures in elderly people in Finland: sharp increase in 1970–1997 and alarming projections for the new millennium. Osteoporos Int. 2000;11(5):443-8.

Borkan JM, Quirk M, Sullivan M. Finding meaning after the fall: injury narratives from elderly hip fracture patients. Soc Sci Med. 1991;33(8):947-57.

Russell TA. Intertrochanteric fractures. In: Bucholz RW, Heckman JD, Court-Brown CM, Tornetta P, eds. 8th ed. Rockwood and Green's fractures in adults. Philadelphia: Lippincott Williams and Wilkins; 2010: 1597-640.