Heterotopic ossification in patients with hip osteoarthritis below forty years old after total hip replacement
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2009, Vol 11, Issue 5
Abstract
Summary Introduction: Even though heterotopic ossification (HO) is most often asymptomatic in patients after total hip replacement (THR), it remains a serious problem in orthopaedics as it is observed in nearly all operated patients. Materials and methods: The article presents a pre- and post-operative retrospective analysis of heterotopic ossification based on radiographic evidence. The study involved 77 patients below forty years old who underwent THR due to degenerative changes. Heterotopic ossification was evaluated using Brooker's basic four-grade scale. Results: Heterotopic ossification was diagnosed more often in women. The study confirmed once again that non-steroidal anti-inflammatory drug (NSAID) prophylaxis reduces the risk of ossification. We propose that the hydroxyapatite coating of implants may also contribute to a higher incidence of heterotopic ossification in operated patients. Conclusions: A history of surgical procedures and a lack of NSAID prophylaxis contributed to heterotopic ossification in the region of the replaced hip joint in the study group.
Authors and Affiliations
Bogdan Koczy , Tomasz Stołtny, Michał Świderski, Michał Pyda, Jan Pająk, Jerzy Spindel, Wojciech Wawrzynek, Leszek Miszczyk, Sławomir Kasperczyk, Jerzy Widuchowski
Keywords
Related Articles
- EP ID EP56950
- DOI -
- Views 89
- Downloads 0
Połowicza poresekcyjna endoproteza Austin Moore'a stawu biodrowego w leczeniu przerzutów do bliższej części kości udowej
Wstęp. Kość udowa, szczególnie jej bliższa nasada, stanowi jedno z najczęstszych lokalizacji nowotworów przerzutowych do kośćca. Ze względu na obciążenie częste są również złamania patologiczne w jej obrębie. Jego wystąp...
Regimen and results of physiotherapy in patients following surgical treatment of ulnar nerve injury
Background. Ulnar nerve injuries are the most common cause of damage to the nerves of the hand. Diverse mechanisms of injury may be involved, the most frequent being injuries to various areas within the forearm, usually...
Rozwój wczesnych biologicznych koncepcji, technik i metod operacji wytwórczych stawów
Autorzy przedstawiają w artykule rozwój technik chirurgicznego uruchamiania zesztywniałych stawów, a w szczególności problematykę stosowania tzw. materiałów interpozycyjnych, które stanowiąc substytut zniszczonej chrząst...
The value of autotransfusion in the management of intraoperative blood loss during orthopedic surgery
The principal advantage of autologous blood transfusions is the danger of transmitting infectious agents and the adverse immunomodulatory effects of allogenic transfusion can be avoided. The effectiveness of preoperative...
Operative technique and results of core decompression and filling with bone grafts in the treatment of osteonecrosis of femoral head
SummaryIntroduction: The aim of this paper is to present the operative technique and results of core decompression and clearing of a necrotic zone in the femoral head followed by filling the defect with impacted autologo...