Heterotopic ossification in patients after total hip replacement
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2007, Vol 9, Issue 3
Abstract
Heterotopic ossification (HO) is defined as pathological bone formation in soft tissues, for example in muscles, where physiologically there is no osseous tissue present. It is one of the most common complications of total hip joint replacement surgery. A wide variety of risk factors for heterotopic ossification have been identified to date. Almost 90% of total hip arthroplasty patients are at high risk for HO. There are two primary methods of preventing heterotopic ossification: pharmacotherapy with NSAIDs (non steroid anti-inflammatory drugs) and radiotherapy. Symptomatic heterotopic ossifications are treated by extracorporeal shock wave therapy (ESWT) and surgery, followed by NSAID pharmacotherapy or radiotherapy. The arterioles adjacent to areas of heterotopic ossification are usually embolized prior to the operation. This article describes the state of the art in the prevention and treatment of heterotopic ossifications based on the available literature.
Authors and Affiliations
Tomasz Stołtny, Bogdan Koczy, Wojciech Wawrzynek, Leszek Miszczyk
Monitoring the treatment of low back pain using non-steroid anti-inflammatory drugs and aromatic oil components
Background. The nervous system, in reaction to pain, restrains the range of motion in the affected limb, increasing the amplitude on the healthy side. Thus the asymmetry of a given motion can be used in the quantitative...
Metatropic dysplasia in four-year-old boy – physiotherapy and orthopaedic care problems – case report
AbstractMetatropic dysplasia is a rare skeletal dysplasia caused by a mutation in the VDRL4 gene. Characteristic abnormalities include tubular bones with short diaphyses and wide metaphyses, delayed ossification of the i...
The effect of the therapeutic approach on the course of Perthes' disease and its outcome: Conservative vs. surgical treatment
Background. The aim of our study was to compare the outcome of Perthes' disease in children treated conservatively or surgically, and to attempt to answer the question as to whether surgery shortens the duration of the d...
Zagrożenie ostrym zespołem ciasnoty przedziałów powięziowych stopy po złamaniu kości piętowej
Wstęp: Zespół ciasnoty przedziałów powięziowych ZCPP to stan, w którym w wyniku wzrostu ciśnienia w obrębie przedziału anatomicznego kończyny dochodzi do zaburzenia krążenia krwi, unerwienia i czynności mięśni. W następs...
Overlooked Posterior Shoulder Dislocation: Preoperative and Postoperative CT Studies (A Case Report)
Posterior shoulder dislocation is an extremely rare injury. A radiograph of the dislocated shoulder is generally accepted as normal owing to several traps. Therefore if the clinician is not suspicious, this injury can ea...