Heterotopic Ossification in Acetabular Fracture Surgery

被引:34
作者
Firoozabadi, Reza [1 ]
Alton, Timothy [1 ]
Sagi, Henry Claude [1 ]
机构
[1] Univ Washington Hosp, Dept Orthopaed, Seattle, WA 98195 USA
关键词
TOTAL HIP-REPLACEMENT; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; RADIATION-THERAPY; BROOKER CLASSIFICATION; PREOPERATIVE RADIATION; INTERNAL-FIXATION; OPEN REDUCTION; BONE-FORMATION; ANIMAL-MODEL; INDOMETHACIN;
D O I
10.5435/JAAOS-D-15-00366
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Heterotopic ossification (HO) is a common complication of the surgical treatment of acetabular fractures. HO is the formation of trabecular bone in soft tissues where bone does not usually occur. Over the last decade, many risk factors have been identified for HO after surgical fixation of acetabular fractures; however, prophylaxis and treatment of this condition are controversial. Potential preventive measures range from NSAIDs to external beam irradiation, but recent studies have questioned the utility of these measures. The Brooker classification system, which has been correlated with patient function and outcomes, is most commonly used to describe HO severity. Advances will assist in the diagnosis, prevention, and. management of HO as well as the assessment of risk factors that could affect outcomes.
引用
收藏
页码:117 / 124
页数:8
相关论文
共 45 条
[1]  
ALONSO JE, 1994, CLIN ORTHOP RELAT R, P81
[2]  
Anthonissen J, 2014, ACTA ORTHOP BELG, V80, P2
[3]   Is Preoperative Radiation Therapy as Effective as Postoperative Radiation Therapy for Heterotopic Ossification Prevention in Acetabular Fractures? [J].
Archdeacon, Michael T. ;
d'Heurle, Albert ;
Nemeth, Nicole ;
Budde, Bradley .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2014, 472 (11) :3389-3394
[4]   A new classification of peri-articular heterotopic ossification of the hip associated with neurological injury 3D CT SCAN ASSESSMENT AND INTRA-OPERATIVE FINDINGS [J].
Arduini, M. ;
Mancini, F. ;
Farsetti, P. ;
Piperno, A. ;
Ippolito, E. .
BONE & JOINT JOURNAL, 2015, 97B (07) :899-904
[5]   Is Radiation Superior to Indomethacin to Prevent Heterotopic Ossification in Acetabular Fractures?: A Systematic Review [J].
Blokhuis, Taco J. ;
Frolke, Jan Paul M. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2009, 467 (02) :526-530
[6]   COLLAGENS AND GROWTH-FACTORS IN HETEROTOPIC OSSIFICATION - EXPERIENCE WITH NONRADIOACTIVE IN-SITU HYBRIDIZATION [J].
BOSSE, A ;
WULF, M ;
WIETHEGE, T ;
VOSS, B ;
MULLER, KM .
PATHOLOGE, 1994, 15 (04) :216-225
[7]  
Bosse A, 1997, Veroff Pathol, V146, P1
[8]   OSTEOTOMY OF THE TROCHANTER IN OPEN REDUCTION AND INTERNAL-FIXATION OF ACETABULAR FRACTURES [J].
BRAY, TJ ;
ESSER, M ;
FULKERSON, L .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1987, 69A (05) :711-717
[9]   ECTOPIC OSSIFICATION FOLLOWING TOTAL HIP-REPLACEMENT - INCIDENCE AND A METHOD OF CLASSIFICATION [J].
BROOKER, AF ;
BOWERMAN, JW ;
ROBINSON, RA ;
RILEY, LH .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1973, A 55 (08) :1629-1632
[10]   Indomethacin compared with localized irradiation for the prevention of heterotopic ossification following surgical treatment of acetabular fractures [J].
Burd, TA ;
Lowry, KJ ;
Anglen, JO .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2001, 83A (12) :1783-1788