Myositis ossificans following total knee replacement

Abstract

Two cases of myositis ossificans involving the quadriceps femoris muscle are described following total knee replacement arthroplasty. This condition appears to be a very rare complication of this operation. One case was helped by ultrasound therapy.

Heterotopic ossification after primary shoulder arthroplasty

“…20 In 1975 Dahl 6 was the first to report on the effect of nonsteroidal anti-inflammatory drugs (NSAIDs) for prophylaxis against HO, and in 1981 Coventry and Scanlon 5 showed the efficiency of postoperative irradiation after hip replacements. In shoulder arthroplasty, as in elbow 10,14 or knee arthroplasty, 2,10,13,17,23 reports of HO are rare. Only two reports by Kjaersgard-Andersen et al 9 and Sperling et al 24 looked specifically for heterotopic bone formation after shoulder arthroplasty.…”

Symptomatic myositis ossificans following computer navigated total knee replacement: A complication of fixed femoral marker placement

“…Booth et al [6] proposed that excessive bleeding might contribute to myositis ossificans following total knee arthroplasty. McClelland et al [5] also suggested that this may have been the case to a patient having postoperative bleeding due to warfarin therapy.…”

“…Encountered more commonly following total hip arthroplasty [4], only six cases have been reported in the English literature following knee arthroplasty [5][6][7][8].…”

Severe heterotopic ossification and stiffness after revision knee surgery for a periprosthetic fracture

“…Numerous risk factors that have been listed for HO around the hip, such as previous history of HO, ankylosing spondylitis, Paget disease, hypertrophic osteoarthritis, and post-traumatic osteoarthritis characterized by extensive osteophytosis [3] , [4] , [10] , [11] , are also predisposing factors in TKAs. Other factors involved in the formation of HO after TKA are related to the surgical technique, such as excessive periosteal injury after exposure of the distal femur for instrumentation positioning, notching of the anterior cortex, damage to the quadriceps muscle, and inadequate hemostasis and knee hematoma [2] , [3] , [12] , [13] . Forced knee manipulation is also recognized as potentially increasing the risk factor [3] .…”

“…The efficacy of NSAIDS and local radiation therapy, in terms of prevention, has been studied and well documented for the hip [14] , [15] , and can also be applied for the knee [9] . Most knees with HO achieve a satisfactory clinical outcome without additional surgery [3] , [5] , [7] , [12] . Spontaneous resolution of pain with flexion restrictions has also been reported [6] .…”