Prophylaxis of Heterotopic Ossification in Patients Sedated after Polytrauma

Abstract

Informed consent for irradiation should be obtained before operation whenever possible. When this cannot be done prophylaxis can be postponed for a maximum of 3 days in order to obtain consent. If the patient is not able to communicate within this period, prophylactic irradiation should be given after consulting the relatives. The patient must be informed as soon as possible.

Combined Radiotherapy and Indomethacin for the Prevention of Heterotopic Ossification after Total Hip Arthroplasty

“…Patients with contraindications to the use of NSAIDs such as gastrointestinal problems, renal dysfunction or failure, hepatic dysfunction, increased blood pressure, and known allergy to NSAIDs were excluded from the study. Informed consent was obtained postoperatively for all patients that received irradiation, as recently proposed [25].…”

“…Radiotherapy (RT) is a modality commonly used in the treatment of benign diseases [1,13,21,25]. Postoperative heterotopic ossification (HO) is a frequent complication following hip replacement surgery.…”

Radiation Therapy for Prevention of Heterotopic Ossification about the Elbow

“…Administration of various nonsteroidal anti-inflammatory drugs, as well as pre-or postoperative radiation therapy (RT) has proven effective for successful prophylaxis. While the value of RT is systematically investigated in patients undergoing hip surgery [3,8,11,18,20,26,28,31,32], only a few reports have been published providing information about the efficacy of RT in sites other than the…”

Irradiation in the treatment of arthrofibrosis after total knee arthroplasty: a preliminary trial

“…However, several studies postulate an insignificant lifetime-risk of radiation-induced cancer [9,14]. This effect is linked to the low doses of radiation, as well as to a patient population that is usually older.…”