Nutritional Indicators of Bone Nonunion: A Systematic Review Article Swipe
Eleanor Christianson
,
Margaret Thomas
,
Sheila Sprague
,
Jessica Rivera
,
Andrew Chapple
,
Robert Zura
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/jcm13216553
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/jcm13216553
Background/Objectives: Bone nonunion remains a clinical challenge in orthopedic surgery with significant impacts on mental and physical wellbeing for patients. There are several previously established risk factors of nonunion that are connected to nutrition, but this has yet to be substantially explored. This review seeks to assess all studies that present associations between nutrition and nonunion to understand the potential for clinical relevance in nonunion prevention. Methods: Case–control and cohort studies comparing nonunion risk based on nutritional factors were gathered through PubMed in July 2024. Data were extracted with dual verification through Covidence and assessed for bias using the Newcastle–Ottawa Scale. Results: A total of 21 studies were included in this literature review. Vitamin D deficiency was a significant risk factor of nonunion in six studies and not significant in six other studies. Albumin was significant in three of the five studies addressing this lab value. Iron deficiency anemia was significant in a study assessing its impact on nonunion. Calcium was not significant in the one study mentioned. ICD-10-coded malnutrition was significant in one of the two studies. Sarcopenia, nutritional care plans, and dietitian-diagnosed malnutrition were statistically significant clinical indicators for predicting nonunion, but food insecurity was insignificant. Conclusions: Vitamin D, calcium, albumin, iron deficiency anemia, sarcopenia, and clinically diagnosed malnutrition have all been associated with an increased risk of nonunion in observational studies and should be considered when preventing nonunion development.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm13216553
- https://www.mdpi.com/2077-0383/13/21/6553/pdf?version=1730366662
- OA Status
- gold
- Cited By
- 2
- References
- 37
- Related Works
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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https://doi.org/10.3390/jcm13216553Digital Object Identifier
- Title
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Nutritional Indicators of Bone Nonunion: A Systematic ReviewWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-10-31Full publication date if available
- Authors
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Eleanor Christianson, Margaret Thomas, Sheila Sprague, Jessica Rivera, Andrew Chapple, Robert ZuraList of authors in order
- Landing page
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https://doi.org/10.3390/jcm13216553Publisher landing page
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https://www.mdpi.com/2077-0383/13/21/6553/pdf?version=1730366662Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.mdpi.com/2077-0383/13/21/6553/pdf?version=1730366662Direct OA link when available
- Concepts
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Medicine, Nonunion, Intensive care medicine, SurgeryTop concepts (fields/topics) attached by OpenAlex
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2Total citation count in OpenAlex
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2025: 2Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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