Summary
The results of postoperative irradiation therapy after total hip replacement or resection of para-articular ossification in 25 patients are reported. The patients were kept under radiological observation for an average period of 26 months and clinical observation for an average period of 31 months after surgery. There were only two clinically relevant recurrences of para-articular ossification. The earlier radiotherapy with a total dose of 2000 rads (2000 cGy) was begun, the better was the effect. In this small population sample statistical significance could not be calculated. No side effects were detected.
Similar content being viewed by others
References
Arcq M (1973) Die paraartikulären Ossifikationen — eine Komplikation der Totalendoprothese des Hüftgelenkes. Arch Orthop Unfallchir 77:108
Bislam RS, Ranawat CS, Inglis AE (1976) Total hip replacement in ankylosing spondylitis with involvement of the hip. J Bone Joint Surg [Am] 58:233
Charnley J (1972) The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Joint Surg [Br] 54:61
Coventry MB, Sconlon DW (1981) The use of radiation to discourage ectopic bone. J Bone Joint Surg [Am] 63:201
De Lee J, Ferrari A, Charnley J (1976) Ectopic bone formation following low-friction arthroplasty of the hip. Clin Orthop 121:53
Elmstedt E, Lindholm TS, Nilsson OS, Törnkrist H (1985) Effect of ibuprofen on heterotopic ossification after hip replacement. Acta Orthop Scand 56:25
Jowsey J, Coventry MD, Robbins PR (1977) Heterotopic ossification: theoretical consideration, possible etiologic factors, and a clinical review of the patients exhibiting this phenomenon. In: The hip. Proc 5th Scient Meet of the Hip Soc, Mosby, St Louis, Ch 16
Mac Lennan I, Keys HM, McCollister C, Rubin P (1984) Usefulness of postoperative hip irradiation in the prevention of heterotopic bone formation in a high-risk group of patients. Int J Radiat Oncol Biol Phys 10:49
Nollen AJG, Slooff TJJH (1973) Para-articular ossifications after total hip replacement. Acta Orthop Scand 44:230
Parkinson JR, Evarts CM, Hubbard LF (1982) Radiation therapy in the prevention of heterotopic ossification after total hip arthroplasty. In: The hip, Proc 10th Scient Meet of the Hip Soc, Mosby, St Louis, Ch 14
Rudicel S (1985) Paraartikuläre (ektopische oder heterotope) Ossifikationen nach Hüfttotalprothese. Orthopäde 14:54
Sudmann E (1975) Effect of indomethacin on bone remodelling in rabbit ear chambers. Acta Orthop Scand [Suppl] 160:91
van der Werf GJIM, van Hasselt NGM, Tonino AJ (1985) Radiotherapy in the prevention of recurrence of para-articular ossification in total hip prostheses. Arch Orthop Trauma Surg 104:85
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Brunner, R., Morscher, E. & Hünig, R. Para-articular ossification in total hip replacement: An indication for irradiation therapy. Arch. Orth. Traum. Surg. 106, 102–107 (1987). https://doi.org/10.1007/BF00435422
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00435422