Are there really specific risk factors for heterotopic ossifications? A case report of ‘non-risk factor’ after total hip replacement

Author:

Stołtny Tomasz1,Pasek Jarosław2ORCID,Rokicka Dominika3,Wróbel Marta3,Dobrakowski Michał45,Kamiński Paweł4,Domagalski Rafał1,Czech Szymon1,Strojek Krzysztof3,Koczy Bogdan1

Affiliation:

1. Department of Adult Orthopaedics, District Hospital of Orthopaedics and Trauma Surgery, Piekary Śląskie, Poland

2. Department of Physiotherapy, Faculty of Health Sciences, University of Jan Długosz, Częstochowa, Poland

3. Department of Internal Diseases, Diabetology and Cardiometabolic Diseases, School of Medicine with the Division of Dentistry, Medical University of Silesia, Zabrze, Poland

4. Department of Medical Radiology and Radiodiagnostics, Independent Public Clinical Hospital No. 1, Zabrze, Poland

5. Department of Biochemistry, Faculty of Medical Sciences, Medical University of Silesia, Zabrze, Poland

Abstract

Femoral neck fractures are one of the most common fractures in the elderly population. Due to frequent complications of the fixation of these fractures, patients are more and more often eligible for hip replacement surgery. One of the most frequently mentioned postoperative complication is the formation of heterotopic ossification. This case report describes as a 70-year-old male patient that presented with an old hip fracture accompanied by a mild craniocerebral trauma. The patient underwent total cementless hip arthroplasty followed by rehabilitation. At 8 months after surgery, the patient was diagnosed with Brooker IV° heterotopic ossification in the area of the operated hip joint. Due to the persistent pain and complete loss of mobility in the operated joint, computed tomography imaging was performed and the patient was recommended for a revision surgery. The procedure was performed 14 months after the original surgical treatment, resulting in a significant improvement in the range of motion and reduction of pain.

Publisher

SAGE Publications

Subject

Biochemistry (medical),Cell Biology,Biochemistry,General Medicine

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