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European Journal of Orthopaedic Surgery & Traumatology

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01-02-2016 | Original Article • HIP - ARTHOPLASTY

Acute revision hip arthroplasty: a previously unrecognized risk factor for heterotopic ossification

Authors: Abdulaziz Aljurayyan, Dylan Tanzer, Michael Tanzer

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 2/2016

Abstract

Background

The aim of this retrospective review was to determine the incidence and severity of heterotrophic ossification (HO) following acute revision total hip arthroplasty (THA), and whether this represents a significant risk factor for HO that should be treated prophylactically.

Materials and methods

A total of seven patients (three men and four women) with a mean age of 55 years (39–70 years) who underwent a reoperation of their THA for any reason that required a hip arthrotomy within 3 weeks of their primary or revision THA were included, with a mean follow-up of 8.8 years (2–12 years). All patients were evaluated radiographically for any evidence of HO and clinically using the Harris Hip Score.

Results

All seven hips (100 %) developed HO, with 71 % being severe (Brooker III and IV HO). One hip (14 %) developed Brooker IV HO, four hips (57 %) developed Brooker III HO, and two hips (29 %) developed Brooker II HO. The patient’s range of motion varied, but was very limited in three patients. Three patients (42.8 %) were not satisfied with their surgery; one patient had Brooker IV HO, and two patients had Brooker III HO.

Conclusion

Acute reoperation after primary or revision THA is a significant risk factor for the development of extensive HO, which requires prophylactic treatment.

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Title: Acute revision hip arthroplasty: a previously unrecognized risk factor for heterotopic ossification
Authors: Abdulaziz Aljurayyan
Dylan Tanzer
Michael Tanzer
Publication date: 01-02-2016
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 2/2016
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-015-1733-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Acute revision hip arthroplasty: a previously unrecognized risk factor for heterotopic ossification

Abstract

Background

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusion

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