Heterotopic ossification in patients with hip osteoarthritis below forty years old after total hip replacement
- Resource Type
- Authors
- Bogdan, Koczy; Tomasz, Stołtny; Michał, Swiderski; Michał, Pyda; Jan, Pajak; Jerzy, Spindel; Wojciech, Wawrzynek; Leszek, Miszczyk; Sławomir, Kasperczyk; Jerzy, Widuchowski
- Source
- Ortopedia, traumatologia, rehabilitacja. 11(5)
- Subject
- Adult
Male
Postoperative Care
Reoperation
Arthroplasty, Replacement, Hip
Incidence
Ossification, Heterotopic
Anti-Inflammatory Agents, Non-Steroidal
Comorbidity
Osteoarthritis, Hip
Causality
Radiography
Young Adult
Coated Materials, Biocompatible
Humans
Female
Sex Distribution
Hip Dislocation, Congenital
Retrospective Studies
- Language
- ISSN
- 1509-3492
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.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.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.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.