Summary
In order to delineate groups of patients suitable for treatment to prevent heterotopic bone formation (HBF) following total hip replacement, 99 patients were examined to evaluate predisposing factors. One year after surgery, HBF was found in 73% of the patients. A significantly increased frequency of HBF was found among men. There was no correlation between age, severity of osteoarthritis, size of osteophytes, or preoperative hip movement and HBF. Previous ipsilateral hip surgery did not increase the risk of HBF. Although not significant, all patients who developed heterotopic bone after previous ipsi- or contralateral hip surgery showed HBF of the same or even a higher grade after the present replacement.
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Brooker AF, Bowermann JW, Robinson RA, Lee RH (1973) Ectopic ossification following total hip replacement. J Bone Joint Surg [Am] 55:1629–1632
Bisla RS, Ranawat CS, Inglis AE (1976) Total hip replacement in patients with ankylosing spondylitis with involvement of the hip. J Bone Joint Surg [Am] 58:233–238
Coventry MB, Scanlon PW (1981) The use of radiation to discourage ectopic bone. J Bone Joint Surg [Am] 63:201–208
Danielsson LG (1964) Incidence and prognosis of coxarthrosis. Acta Orthop Scand [Suppl] 66
DeLee J, Ferrari A, Charnley J (1976) Ectopic bone formation following low-friction arthroplasty of the hip. Clin Orthop 121:53–59
Elmstedt E, Lindholm TS, Sam T, Nilsson OS, Törnkvist H (1985) Effect of ibuprofen on heterotopic ossification after hip replacement. Acta Orthop Scand 56:25–27
Hamplen DL (1984) Ectopic ossification. In: Ling RSM (ed) Complications of total hip replacement. Churchill Livingstone, London, pp 100–109
Hierton C, Blomgren G, Lindgren U (1983) Factors associated with heterotopic bone formation in cemented total hip prostheses. Acta Orthop Scand 54:698–702
Kjærsgaard-Andersen P, Schmidt SA (1984) Para-articular ossification after total hip replacement (in Danish, English abstract). Ugeskr Laeger 146:3445–3448
Kjærsgaard-Andersen P, Schmidt SA (1986) Indomethacin for prevention of ectopic ossification after hip arthroplasty. Acta Orthop Scand 57:12–14
Kromann-Andersen C, Sørensen TS, Hougaard K, Zdravkovic D, Frigaard E (1980) Ectopic bone formation following Charnley hip arthroplasty. Acta Orthop Scand 51:633–638
Lazansky MG (1973) Complications revisited. Clin Orthop 95:96–103
Matos M, Amstutz HC, Finerman G (1975) Myositis ossificans following total hip replacement. J Bone Joint Surg [Am] 57:137
Nolan DR, Fitzgerald RH, Beckenbaugh RD, Coventry MB (1975) Complications of total hip arthroplasty treated by reoperation. J Bone Joint Surg [Am] 57:977–981
Nollen AJG, Slooff TJJH (1973) Para-articular ossifications after total hip replacement. Acta Orthop Scand 44:230–241
Riegler HF, Harris CM (1976) Heterotopic bone formation after total hip arthroplasty. Clin Orthop 117:209–216
Ritter MA, Vaughan RB (1977) Ectopic ossification after total hip arthroplasty. J Bone Joint Surg [Am] 59:345–351
Ritter MA, Gioe TJ (1982) The effect of indomethacin on para-articular ossification following total hip arthroplasty. Clin Orthop 167:113–117
Ritter MA, Sieber JM (1985) Prophylactic indomethacin for the prevention of heterotopic bone formation following total hip arthroplasty. Clin Orthop 196:217–225
Schmidt SA, Kjærsgaard-Andersen P, Pedersen NW, Kristensen SS, Pedersen P, Nielsen JB (1988) Indomethacin for prevention of heterotopic bone formation following total hip replacement. J Bone Joint Surg [Am] (in press)
Slätis P, Kiviluoto O, Santavirta S (1978) Ectopic ossification after hip arthroplasty. Ann Chir Gynaecol 67:89–93
Taylor AR, Kamder BA, Arden GP (1976) Ectopic ossification following total hip replacement. J Bone Joint Surg [Br] 58:134
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Supported by grants from the Vejle County Medical Foundation
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Pedersen, N.W., Kristensen, S.S., Schmidt, S.A. et al. Factors associated with heterotopic bone formation following total hip replacement. Arch Orthop Trauma Surg 108, 92–95 (1989). https://doi.org/10.1007/BF00932162
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DOI: https://doi.org/10.1007/BF00932162