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Heterotropic ossification

Junren Zhang, Mark Tan, Ernest Beng Kee Kwek
BACKGROUND: Clinical outcomes of terrible triad injuries (TTIs) of the elbow are historically poor. To date, it is still debatable whether the coronoid needs to be fixed and if so, how and in which sequence. METHODOLOGY: Between 2010 and 2013, 13 patients were treated surgically for acute TTIs of the elbow at a Tertiary Level 1 Trauma Centre by a single surgeon, using a standardized protocol, which included coronoid-brachialis complex fixation via pull-through trans-osseous sutures, radial head fixation or prosthetic replacement and a repair of the lateral ulnar collateral ligament...
September 2017: Archives of Orthopaedic and Trauma Surgery
J Aderinto, O B Lulu, D J Backstein, O Safir, A E Gross
Eighteen hip fusions were converted to total hip replacements. A constrained acetabular liner was used in three hips. Mean follow up was five years (two to 15). Two (11%) hips failed, requiring revision surgery and two patients (11%) had injury to the peroneal nerve. Heterotopic ossification developed in seven (39%) hips, in one case resulting in joint ankylosis. No hips dislocated. Conversion of hip fusion to hip replacement carries an increased risk of heterotopic ossification and neurological injury. We advise prophylaxis against heterotropic ossification...
November 2012: Journal of Bone and Joint Surgery. British Volume
Richard A Cain, Jason A Nydick, Matthew I Stein, Bailee D Williams, John A Polikandriotis, Alfred V Hess
PURPOSE: Distal biceps rupture is a relatively uncommon injury. Surgical repair is performed in patients who seek increased flexion and supination strength over that which results from nonoperative treatment. The purpose of this study was to evaluate complications associated with surgical repair of the distal biceps tendon in a large series of patients. METHODS: We retrospectively reviewed 198 consecutive patients with distal biceps ruptures treated with surgical repair, and evaluated time from injury to repair, surgical technique, and complications...
October 2012: Journal of Hand Surgery
Nicolas J Beresford-Cleary, Nicolas Beresford-Cleary, Jane Halliday, S Jane Breusch, Jane Breusch, L C Biant, Jane Biant
PURPOSE: To assess the consent process for elective primary total hip replacement (THR) and total knee replacement (TKR) in our hospital. METHODS: Consent processes of 47 THR and 53 TKR patients performed by 11 surgeons were reviewed. Complications that were documented were recorded, as was the grade of surgeon (consultant or specialist trainee) performing consent, and the location at which this took place. Comparisons were made between rates of documented, clinically significant complications discussed during consent, and those listed in the British Orthopaedic Association (BOA), in the literature, and other joint registries...
December 2011: Journal of Orthopaedic Surgery
N M Popović, A R Karamarković, Z B Blagojević, B V Terzić, V T Nikolić, P B Gregorić, J Djoković, Dj D Bajec
Nonsteroidal antiinflamatory drugs (NSAIDs) lead to satisfactory acute and chronic pain relief. Besides that, they exert potent antiinflamatory effect. Their analgesic potency is dose related and limited. Orthopedic patients are often on these medications preoperatively and experience opioid-sparing effect in the postoperative period. Chronic NSAIDs use is related to higher rate of sistemic adverse effects, but even short time exposure in the postoperative period is not risk-free. Although Coxibs reduce GIT bleeding incidence due to prolonged use of NSAIDs, there has to be judicious decision considering their cardiovascular adverse effects...
2010: Acta Chirurgica Iugoslavica
J Behounek, M Hrubina, M Skoták, O Krumpl, M Zahálka, J Dvorák, M Fucík
PURPOSE OF THE STUDY To present the results of surgical repair of ruptures of the distal tendon of the biceps brachii muscle and thus show the adequacy of this treatment. MATERIAL Between 1987 and 2006, 19 patients had surgery for distal biceps tendon rupture. Only one side was affected in each patient. All patients were men between 28 and 69 years (average age, 47.5 years) at the time of injury (surgery). When the patients were evaluated at the end of 2007, 18 patients were included, because one died a year after surgery...
February 2009: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
J Stulík, J Kryl, P Sebesta, T Vyskocil, M Krbec, T Trc
PURPOSE OF THE STUDY: To present the results of an independent mono-centric prospective study on patients with a mobile ProDisc-C implant. This cervical artificial disc replacement (CADR), which is one of the options for avoiding cervical spine fusion, was evaluated during two-years follow-up. MATERIAL: A total of 61 patients underwent CADR with a ProDisc-C in one or two segments at the Department of Spinal Surgery of the University Hospital in Motol, Prague, in the period from October 2004 to May 2006...
August 2008: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
J W Tan, M Z Mu, G J Liao, J M Li
OBJECTIVES: To report our operative findings regarding the annular ligament in paediatric Monteggia fractures and to propose treatment recommendation for Monteggia fracture. PATIENTS AND METHODS: A total of 35 children with type I and type III Monteggia fractures were treated operatively. The radial heads were all explored surgically in this series. The interposed ligament was stretched out of the joint space and was reduced around the radial head. In some of the patients, the joint capsule was repaired...
April 2008: Injury
F M Stuby, J E Langenbeck, C Eingartner, K Weise, B Rolauffs
AIM: The aim of this study was to assess the range of movement, isometric and isokinetic postoperative outcome, Morrey score and heterotropic ossifications after refixation of distal biceps tendon rupture with either suture anchor or bone tunnel fixation. METHODS: 48 patients were surgically treated between 1990 and 2005. Elbow function was investigated isometrically and isokinetically with the CYBEX-NORM. The presence and extent of heterotropic ossifications were assessed by A/P and lateral view X-rays...
June 2007: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
F M Stuby, J E Langenbeck, C Eingartner, K Weise, B Rolauffs
AIM: The aim of this study was to assess the range of movement, isometric and is okinetic postoperative outcome, Morrey score and heterotropic ossifications after refixation of distal biceps tendon rupture with either suture anchor or bone tunnel fixation. METHODS: 48 patients were surgically treated between 1990 and 2005. Elbow function was investigated isometrically and isokinetically with the CYBEX-NORM. The presence and extent of heterotopic ossifications were assessed by A/P and lateral view X-rays...
March 2007: Zeitschrift Für Orthopädie und Unfallchirurgie
H A Mann, M Z B Choudhury, C A Lee, N J Goddard
We report two cases of this rare postoperative condition. Both patients having undergone extensive surgery to their hips, developed increased bone growth in the soft tissue of the hip, accounting for the reduced range of movement, pain and stiffness. Plain x-rays taken confirmed the presence of heterotopic ossification, also known as a variant of myositis ossificans. We review the literature and discuss treatment options of this rare condition in patients with end-stage haemophilic arthropathy.
November 2006: Haemophilia: the Official Journal of the World Federation of Hemophilia
P Simko, T Braunsteiner, S Vajcziková
PURPOSE OF THE STUDY: The aim of this pilot study was to evaluate the clinical and functional outcomes of total hip arthroplasty (THA) in patients with acetabular fractures due to a low-energy injury. Acute primary THA included an antiprotrusion cage and autologous bone grafting of the acetabulum. This prospective study was carried out between 1998 and 2004. MATERIAL: Ten patients, of whom six were men, (average age, 71 years; range, 60 to 83 years) with acetabular fractures were treated by THA...
August 2006: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
B A R Tonino, H G W M van der Meulen, K C Kuijpers, W M C Mallens, A P G van Gils
Heterotropic mesenteric ossification is a rare entity. Only a few cases have been described in the literature. We report a case of heterotropic mesenteric ossification in a patient who underwent several laparotomies, after suffering from multiple gunshot wounds. We discuss the radiographic findings of this disease that can easily be misdiagnosed, and review the literature.
January 2005: European Radiology
S Ochman, U Frerichmann, M Schult, R H Meffert
Juvenile dermatomyositis is rare but still the most common idiopathic inflammatory myopathy of the childhood. Operative treatment may be indicated, whenever joint motion and patients mobility is limited through the manifestation of calcinosis cutis. Although Vitamin K dependent coagulation pathways have been described, the entire pathophysiological mechanism of its occurrence is currently not clarified. Standard therapy includes the systemic application of steroids and cytotoxins, other options involve aluminum-hydroxid or diltiazem...
April 2004: Der Unfallchirurg
No abstract text is available yet for this article.
1959: Bruns' Beiträge Zur Klinischen Chirurgie
T A Xenakis, J Gelalis, T A Koukoubis, K C Zaharis, P N Soucacos
Treatment of patients with osteonecrosis of the femoral head focuses on pain relief and improved function of the hip. Total hip arthroplasty remains an effective tool for the treatment of patients with end-stage osteonecrosis with collapse of the femoral head, although there is a greater risk for failure. The aim of the current study was to assess the long-term survival of cementless total hip arthroplasties in 28 patients (36 hips) with osteonecrosis of the femoral head (Steinberg Stage V and Stage VI) with an average followup of 11...
May 2001: Clinical Orthopaedics and related Research
D H Lee
Elbow contractures without significant articular injury can be treated with soft-tissue procedures, such as joint capsular releases, resection of heterotropic ossification, and joint debridement. Elbows with significant intra-articular injuries or posttraumatic arthritis require some form of joint reconstruction, such as a distraction arthroplasty, interposition arthroplasty, or implant replacement arthroplasty. With a better understanding of the surgical indications for elbow arthroplasty, improvements in surgical technique, improvements in elbow implants, and increased surgical experience, the results of implant arthroplasty for the posttraumatic elbow continue to improve...
January 1999: Orthopedic Clinics of North America
O Dizien, A Yelnik
Heterotropic ossifications and contractures are frequent during evolution of spinal cord injury. Heterotopic ossifications occur in the first months following the acute state. Hip is the most common localisation. No preventive or curative treatment is available. At an early stage, clinical or instrumental (sonographic) diagnosis may prevent functional consequences. Muscular disbalance, incomplete physiotherapy, tonus disorders lead to contractures of limbs or trunk. They may have severe consequences on activities of dairy living...
October 15, 1995: La Revue du Praticien
Y Lippin, A Shvoron, M Faibel, H Tsur
Limitation of movement of vocal cords developed in a 38-year-old man after he received a 45% second- and third-degree burn with ossification about the cricoarytenoid joints, which indicated that the lesion had been caused by heterotropic ossification. To the best of our knowledge, this is the first report in medical literature of heterotopic ossification as a mechanical cause of vocal cords dysfunction in the patient with critical burns. Diphosphonate (Didronel) treatment has improved the function of the vocal cords after 11 months of therapy...
March 1994: Journal of Burn Care & Rehabilitation
D A Saks, E C McClees, W A Fajman, W M Hollinger, M J Gilman
Diffuse pulmonary ossification (DPO) is a rare pathologic finding of heterotropic bone formation within the lungs. It has been associated with mitral stenosis, chronic left ventricular failure, interstitial fibrosis, metastatic breast cancer, pulmonary amyloidosis, histoplasmosis, and chronic busulfan therapy. This patient represents a case associated with Placidyl use.
October 1984: Clinical Nuclear Medicine
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