The clinical implications of heterotopic ossification in patients treated with radial head replacement for trauma: A case series and review of the literature.
case_series · Level IV
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- Record sourced from PubMed, PMID 27408502.
- Also identified by DOI 10.1016/j.jor.2016.06.011 and PMC identifier 4930334.
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Abstract
Radial head arthroplasty (RHA) is an acceptable treatment for comminuted radial head fractures (RHF). Fourteen patients with no postop HO prophylaxis were treated with RHA for comminuted RHF. A 50% incidence in HO was seen following RHA with a statistically increased risk (p ≤ 0.05) of reoperation compared to those without HO. Decreased ROM was seen on the affected side (p ≤ 0.05); patients without HO showed no statistical difference (p ≥ 0.05) in ROM or grip strength. HO following RHA increases patient risk for reoperation and decreases ROM. We recommend HO prophylaxis with NSAIDs and/or radiotherapy if no direct patient contraindications are found.
Anatomy
- radius