Periarticular Heterotopic Ossification After Total Hip Arthroplasty for Primary Coxarthrosis

Sodemann, Bent; Persson, Per-Erik; Nilsson, Olle

doi:10.1097/00003086-198812000-00021

Cited by 32 publications

(40 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The contralateral operations were mainly arthoplasties (15 cases out of 19), whereas none of the previous ipsilateral procedures was a THA. A similar pattern of HO was demonstrated by Sodemann et al [18], but not, however, by Vastel et al [19].…”

Section: Discussionsupporting

confidence: 86%

“…This was not evident in our study, nor in the report by Pedersen et al [15]. Many authors have shown that pre-existing HO after contralateral hip surgery is associated with an increased incidence [1,7,11,12,15,18,20]. DeLee et al [6] report an incidence of 92% in patients who developed HO after contralateral THA.…”

Section: Discussioncontrasting

confidence: 60%

“…The effect of these factors is increased with a longer operating time, which has also been shown to be associated with a higher incidence of HO [17,18]. There are, however, other reports showing no relationship between the incidence of HO and the length of the operation [14,19].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Heterotopic ossification after total hip arthroplasty

Toom

Haviko

Rips

2001

International Orthopaedics

View full text Add to dashboard Cite

We studied 178 patients undergoing total hip arthroplasty (66 men and 112 women) retrospectively, with regard to the incidence and severity of heterotopic ossification and the significance of postoperative prophylaxis with non-steroid anti-inflammatory drugs. The overall incidence of heterotopic ossification was 32% 1 year after surgery. The factors increasing the incidence were male gender, previous arthroplasty of the contralateral hip joint, previous surgery on the hip, absence of preoperative treatment with non-steroidal anti-inflammatory drugs and an operating time of more than 100 min. The incidence of heterotopic ossification was lower in the patients of 0 blood group.Résumé Nous avons étudié la fréquence et la sévérité d'ossification hétérotopique dans 178 cas d'arthroplastie totale de la hanche avec une prophylaxie postopératoire par AINS. Une année après la chirurgie la fréquence totale était de 32%. Les facteurs qui augmentent le risque étaient le sexe masculin, une arthroplastie de la hanche contrelaterale, des antécédents chirurgicaux sur hanche, l'absence de traitement préopératoire par AINS et une durée opératoire de plus de 100 min. La fréquence d'ossification hétérotopique était inférieure chez les patients du groupe sanguin 0. IntroductionHeterotopic ossification (HO) is a significant complication of total hip arthroplasty (THA). An incidence, without prophylaxis, has been reported of between 8% and 90% [1,13]. Two methods of treatment are commonly used, non-steroidal anti-inflammatory agents (NSAID) and irradiation [5]. The aim of this study was to record the incidence and severity of HO after THA and to determine the relevance of risk factors. Materials and methodsThe notes of 178 patients (66 men and 112 women) who underwent THA in the Clinic of Traumatology and Orthopaedics, Tartu University, between 1995 and 1996 were reviewed retrospectively. The requirement for THA was degenerative arthritis in 160 cases, rheumatoid arthritis in nine cases and trauma of the hip in nine. All patients were treated prophylactically with NSAIDs up to 30 days postoperatively. All patients also received antithrombotic prophylaxis with 0.3 ml (2500 IU) fractioned heparine (Fraxiparine) daily. The prostheses used were all cemented; Lubinus IP in 120 cases, Lubinus SP II in 51 cases and the Link Dysplasia hip prosthesis in seven. In all cases the posterolateral approach was used.The data collected included age, gender, diagnosis, surgery on the ipsi-and contralateral hip performed before or after THA, the operating time, the type of anaesthesia, blood loss and preoperative treatment with NSAIDs. The preoperative anteroposterior radiographs were reviewed, and those taken on the 1st postoperative day and at 3, 6, 9 and 12 months postoperatively, and were assessed according to the Brooker classification, in which HO is classified at stages I-IV, of which stages III and IV are clinically and functionally significant [4].The analysis of preoperative radiographs included the assessment of osteophytes and the s...

show abstract

Section: Discussionsupporting

confidence: 86%

Section: Discussioncontrasting

confidence: 60%

See 1 more Smart Citation

Heterotopic ossification after total hip arthroplasty

Toom

Haviko

Rips

2001

International Orthopaedics

View full text Add to dashboard Cite

show abstract

“…Several factors have been put forward to explain the pathogenesis of heterotopic ossification [9,15,26,40,41], but there have been only a few studies about its association with the operative approach [36,43]. The incidence was 42% in this study and a severe form occurred 5 times more frequently with the Liverpool approach than with the other two.…”

Section: Discussionmentioning

confidence: 61%

A comparison of three lateral approaches in primary total hip replacement

Pai¹

1998

International Orthopaedics

View full text Add to dashboard Cite

Summary. Three different lateral approaches for a Charnley total hip replacement were studied in 264 operations. The transtrochanteric approach was used in 94, the Liverpool in 88 and the Hardinge in 82. The mean follow up was 2.6 years (range 2 to 3 years). The clinical result was the same in each group. Radiographs showed that alignment of the femoral stem was significantly better in the transtrochanteric group. Grade III socket demarcation was more frequent with the Liverpool approach. There was no difference in cement distribution between the 3 groups, except the acetabular cement distribution was poor with the Hardinge approach. There was no increase in Trendelenburg gait after the Hardinge or Liverpool approach compared with the transtrochanteric approach. Dislocation was a problem after the transtrochanteric approach and risk factors were retroversion of the acetabular cup and detachment of the trochanter. Severe heterotopic bone formation was 5 times more common after the Liverpool, compared with the other two, approaches.

show abstract

“…Some progression of HO then occurs, with maturation of the bone between 3 and 6 months. After 6 months, HO rarely increases in amount, but some further maturation occurs (DeLee et al 1976, Sodemann et al 1988. Morphologic and biochemical analysis of the heterotopic bone has shown an intense turnover and a high content of growth factors, indicating a metabolically active tissue (Puzas et al 1989b).…”

Section: Heterotopic Ossificationmentioning

confidence: 99%

Editorial: Heterotopic ossification

Nilsson¹

1998

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

Periarticular Heterotopic Ossification After Total Hip Arthroplasty for Primary Coxarthrosis

Cited by 32 publications

References 0 publications

Heterotopic ossification after total hip arthroplasty

Heterotopic ossification after total hip arthroplasty

A comparison of three lateral approaches in primary total hip replacement

Editorial: Heterotopic ossification

Contact Info

Product

Resources

About