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. 2023 Feb 6;9(1):e8-e12.
doi: 10.1055/s-0042-1758160. eCollection 2023 Jan.

Heterotopic Ossification in Hip Arthroscopy

Roberto Seijas  1   2   3 , David Barastegui  1   2   3   4 , Carlos López de Celis  2 , Ferran Montaña  1   2 , Xavier Cuscó  1   3 , Ramón Cugat  1   3   4
Affiliations

Heterotopic Ossification in Hip Arthroscopy

Roberto Seijas et al. Surg J (N Y). .

Abstract

Introduction Hip arthroscopy is a rising surgical technique due to the increase in hip diseases, especially femoroacetabular impingement. One of the several complications related to such procedures is heterotopic ossifications (HO). The aim of this study is to describe the prevalence of HO after hip arthroscopy in a series of patients with femoroacetabular impingement and to compare its preoperative and intraoperative variables with a matched control group of patients without HO. Methods All patients who underwent hip arthroscopy for femoroacetabular impingement between 2010 and 2017 with a minimum follow-up of 2 years were included in this analysis. Radiographic examinations were recorded to select cases with HO. A case-control analysis was performed comparing preoperative and intraoperative variables between cases with HO and a matched control group without HO. Results A total of 700 cases were included in the analysis. HO was found in 15 (2.14%) of subjects. Cases with HO showed more severe cartilage injuries, less cam morphology ratio, and a higher proportion of partial labrectomies than the control group. No significant differences were observed in preoperative hip pain or function between groups. Conclusions The prevalence of HO after hip arthroscopy in subjects with femoroacetabular impingement was 2.14%. Cases with HO had more severe cartilage injuries, lower ratio of cam morphology, and higher proportion of partial labrectomies than the control cases without HO. Level of Evidence Level III.

Keywords: NSAIDs; arthroscopy; complications; heterotopic ossification; hip; surgery.

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Conflict of interest statement

Conflict of Interests None declared.

Figures

Fig. 1
Fig. 1
( A ) Brooker grade 1 of heterotopic ossifications. ( B ) Brooker grade 2 of heterotopic ossifications. ( C ) Brooker grade 3 of heterotopic ossifications.
See this image and copyright information in PMC

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