Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 Aug;27(7):1349-53.
doi: 10.1016/j.arth.2011.11.017. Epub 2012 Jan 14.

Low rates of heterotopic ossification after resurfacing hip arthroplasty with use of prophylactic radiotherapy in select patients

Tim J Kruser  1 , Kevin R Kozak, Donald M Cannon, Christopher S Platta, John P Heiner, Richard L Illgen 2nd
Affiliations

Low rates of heterotopic ossification after resurfacing hip arthroplasty with use of prophylactic radiotherapy in select patients

Tim J Kruser et al. J Arthroplasty. 2012 Aug.

Abstract

Recent reports have noted higher rates of heterotopic ossification (HO) with surface replacement arthroplasty (SRA) than with traditional total hip arthroplasty in the absence of postoperative HO prophylaxis. This study reports rates and grades of HO in 44 SRA patients with at least 1 year of follow-up. Heterotopic ossification prophylaxis was used in 32 (73%) of 44 cases. Heterotopic ossification prophylaxis consisted of radiotherapy (22/32), nonsteroidal anti-inflammatory drugs (8/32), or both (2/32). One case of clinically significant HO was documented in the no-prophylaxis group. This strategy of selective HO prophylaxis in patients felt by orthopedic surgeons to be at high risk of HO resulted in low rates of clinically relevant HO after SRA (1/44, 2.3%). Further study is needed to establish optimal selection criteria for HO prophylaxis after SRA.

PubMed Disclaimer

Conflict of interest statement

The Conflict of Interest statement associated with this article can be found at doi: 10.1016/j.arth.2011.11.017.

References

    1. Pollard TC, Baker RP, Eastaugh-Waring SJ, et al. Treatment of the young active patient with osteoarthritis of the hip. A five- to seven-year comparison of hybrid total hip arthroplasty and metal-on-metal resurfacing. J Bone Joint Surg Br. 2006;88:592. - PubMed
    1. Vail TP, Mina CA, Yergler JD, et al. Metal-on-metal hip resurfacing compares favorably with THA at 2 years followup. Clin Orthop Relat Res. 2006;453:123. - PubMed
    1. Lavigne M, Masse V, Girard J, et al. Return to sport after hip resurfacing or total hip arthroplasty: a randomized study. Rev Chir Orthop Reparatrice Appar Mot. 2008;94:361. - PubMed
    1. Girard J, Vendittoli PA, Roy AG, et al. Femoral offset restauration and clinical function after total hip arthroplasty and surface replacement of the hip: a randomized study. Rev Chir Orthop Reparatrice Appar Mot. 2008;94:376. - PubMed
    1. Mont MA, Marker DR, Smith JM, et al. Resurfacing is comparable to total hip arthroplasty at short-term follow-up. Clin Orthop Relat Res. 2009;467:66. - PMC - PubMed

MeSH terms