vahit Emre ÖZDEN, Mehmet Ali TALMAÇ, Remzi TÖZÜN, Burak BEKSAÇ, Metin UZUN

Kalça Kırık Tipinin Oluşmasında Vitamin Eksikliğini Etkisi Var Mıdır?

Amaç: Osteoporotik kırıkların önlenmesi için osteoporozun tanısı ve tedavisi önemli bir yer tutmaktadır. Bu tanı için ensık kullanılan yöntem kemik mineral yoğunluğu (BMD) olmakla beraber, davranış, kas fonsiyonları ve kalsiyum dengesi;dolaylı olarak da kemik yapısının döngüsünü sağlayan vitamin D, osteoporotik kınkların oluşmasında etkilidir; ama buetkinin kalça kırığımn tipinin oluşmasındaki etkisini değerlendirmeye çalıştık.Materyal ve Metod: Düşük enerjili travma sonrası meydana gelen 20 intertrokanterik ve 20 kollum femoris kırık tanısıile servise yatırılan tüm hastaların BMD ve 25--OH vitamin D3 değerleri ölçüldü.Bulgular: İntertrokanterik femur kırığı olan hastalarda 25--OH Vitamin değeri ortalama 10,42; kollum femoris kırığıolan hastalarda 24,84 olarak bulundu.Sonuç: Osteoporotik, yaşlı hastalarda vitamin eksikliğinin tanı ve tedavisi yapıldığı takdirde, intertrokanterik kalçakırıklarının, kollum femoris kırıklarına göre daha az görülebileceği kanaatindeyiz.

Is There any Effect of Vitamin Insufficiency on Hip Fracture Type?

Objective: Diagnosis and treatment of the osteoporosis is too important to prevent to osteoporotic fracture. Although bonemineral density (BMD) is the most used diagnosis method; vitamin that affects behavior, muscle function, calciumbalance, may lead to osteoporotic fracture. We aimed to assess the relationship between vitamin insufficiency with thetype of hip fracture.Methods: We evaluated BMD and 25--OH vitamin D3 values in hospitalized cases of which 20 were diagnosed asintertrochanteric and 20 as collum femoris fracture due to low energy trauma.Results: 25--OH vitamin D3 value is detected as mean 10.42 at intertrochanteric fractures, while it was detected as mean24.84 at collum femoris fracture cases.Conclusion: If the diagnosis and treatment of vitamin insufficiency is made clearly for the osteoporotic elderly patients,we can lessen the intertrochanteric fracture rates compared to collum femoris fractures.

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