Effect of magnesium supplementation on diaphyseal tibia fractures: a pilot study

Authors

  • Rajendraprasad R. Butala Department of Orthopaedics, Dr. D. Y. Patil Medical College and Hospital, Navi Mumbai, Maharashtra, India
  • Nrupam Mehta Department of Orthopaedics, Dr. D. Y. Patil Medical College and Hospital, Navi Mumbai, Maharashtra, India
  • Sonali Das Department of Orthopaedics, Dr. D. Y. Patil Medical College and Hospital, Navi Mumbai, Maharashtra, India
  • Garvit Khatod Department of Orthopaedics, Dr. D. Y. Patil Medical College and Hospital, Navi Mumbai, Maharashtra, India
  • Atul Yadav Department of Orthopaedics, Dr. D. Y. Patil Medical College and Hospital, Navi Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20242679

Keywords:

Long bone, Magnesium, Tibia diaphyseal fractures, Operative

Abstract

Background: This study aimed to assess and compare the efficacy of magnesium supplementation in patients with long diaphyseal tibia fractures who have undergone surgical management with intramedullary interlocking nailing.

Methods: In a prospective, randomized trial, thirty patients were included, with half receiving magnesium (420 mg/day) along with calcium (500 mg/day) supplementation for 3 months alongside surgical treatment. Radiological outcomes were evaluated through postoperative X-rays using the radiographic union scale for tibia fractures (RUST) scoring system at 6 and 12 weeks.

Results: A significant difference was observed between the two groups. Patients receiving magnesium supplementation exhibited a notable improvement in RUST score, indicating an accelerated bone healing process.

Conclusions: This study demonstrates the efficacy of magnesium supplementation in achieving superior radiologic outcomes compared to patients who did not receive such supplementation. The findings suggest that adjuvant magnesium supplementation could be a viable therapeutic option to enhance bone healing outcomes in individuals with tibia diaphyseal fractures.

References

Singaram S, Naidoo M. The physical, psychological and social impact of long bone fractures on adults: A review. Afr J Prim Health Care Fam Med. 2019;11(1):e1-e9.

Toosi S, Behravan J. Osteogenesis and bone remodeling: a focus on growth factors and bioactive peptides. Biofactors. 2020;46:326-40.

Glass GE, Chan JK, Freidin A, Feldmann M, Horwood NJ, Nanchahal J. TNF-alpha promotes fracture repair by augmenting the recruitment and differentiation of muscle-derived stromal cells. Proc Natl Acad Sci U S A. 2011;108:1585-90.

Jamilian M, Mirhosseini N, Eslahi M, Fereshteh B, Maryam S, Maryam C, et al. The effects of magnesium-zinc-calcium-vitamin D co-supplementation on biomarkers of inflammation, oxidative stress and pregnancy outcomes in gestational diabetes. BMC Pregnancy Childbirth. 2019;19(1):107.

Duale C, Cardot JM, Joanny F, Anna T, Elodie M, Gisèle P, et al. An advanced formulation of a magnesium dietary supplement adapted for a long-term use supplementation improves magnesium bioavailability: in vitro and clinical comparative studies. Biol Trace Elem Res 2018;186(1):01-8.

Venkatraman SK, Swamiappan S. Review on calcium- and magnesium-based silicates for bone tissue engineering applications. J Biomed Mater Res A. 2020;108:1546-62.

De Baaij JH, Hoenderop JG, Bindels RJ. Magnesium in man: implications for health and disease. Physiol Rev. 2015;95:01-46

Van Dronkelaar C, Van Velzen A, Abdelrazek M, Van der Steen A, Weijs PJM, Tieland M. Minerals and sarcopenia; the role of calcium, iron, magnesium, phosphorus, potassium, selenium, sodium, and zinc on muscle mass, muscle strength, and physical performance in older adults: a systematic review. J Am Med Dir Assoc. 2018;19:06-11.

Wang Z, Wang X, Tian Y, Yuan T, Jian Z, Chang J, et al. Degradation and osteogenic induction of a SrHPO4-coated Mg-Nd-Zn-Zr alloy intramedullary nail in a rat femoral shaft fracture model. Biomaterials. 2020;247:119962.

Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietry Reference Intakes. Dietary Reference Intakes for Calcium, Phopshorus, Magnesium, Vitamin D, and Fluoride. Washington, DC: National Academies Press. 1997.

A Brief Note on Nutrient Requirements for Indians, the Recommended Dietary Allowances (RDA) and the Estimated Average Requirements (EAR), ICMR- NIN. 2020. Available at: https://www.nin.res.in/ rdabook/brief_note.pdf. Accessed on 15 June 2024.

Song Y, Xu L, Jin X, Chen D, Jin X, Xu G. Effect of calcium and magnesium on inflammatory cytokines in accidentally multiple fracture adults: A short-term follow-up. Medicine. 2022;101(1):e28538.

Wang Z, Wang X, Tian Y, Yuan T, Jian Z, Chang J, et al. Degradation and osteogenic induction of a SrHPO4-coated Mg-Nd-Zn-Zr alloy intramedullary nail in a rat femoral shaft fracture model. Biomaterials. 2020;247:119962.

Matsuzaki H, Fuchigami M, Miwa M. Dietary magnesium supplementation suppresses bone resorption via inhibition of parathyroid hormone secretion in rats fed a high-phosphorus diet. Magnes Res. 2010;23(3):126-30.

Seo JW, Park TJ. Magnesium metabolism. Electrolyte Blood Press. 2008;6(2):86-95.

Leow JM, Clement ND, Tawonsawatruk T, Simpson CJ, Simpson AH. The radiographic union scale in tibial (RUST) fractures: Reliability of the outcome measure at an independent centre. Bone Joint Res. 2016;5(4):116-21.

Perumal R, Shankar V, Basha R, Jayaramaraju D, Rajasekaran S. Is nail dynamization beneficial after twelve weeks-An analysis of 37 cases. J Clin Orthop Trauma. 2018;9(4):322-6.

Downloads

Published

2024-09-13

Issue

Section

Original Research Articles