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DOI: 10.1055/s-0038-1628303
Ektope Ossifikationen
Komplikation nach hüftchirurgischem EingriffEctopic ossificationsComplications after joint-preserving surgery of the hipPublication History
eingegangen:
04 July 2017
angenommen nach Revision:
23 October 2017
Publication Date:
24 January 2018 (online)
Zusammenfassung
Heterotope Ossifkationen können nach gelenkerhaltenden Operationen am Hüftgelenk auftreten und werden nach Brooker klassifiziert. Leitsymptomatik sind Schmerzen und eine zunehmende Bewegungseinschränkung. Nach entsprechender Diagnostik (Röntgen, CT) kann die operative Ossifikationsentfernung kombiniert mit einer Rezidivprophylaxe (NSAR, alternativ Radiatio) zur Beschwerdefreiheit führen.
Summary
Heterotopic ossifications can occur after joint-preserving surgery of the hip and are classified according to Brooker. Main symptoms are pain and a decreasing range of motion. After suitable clinical diagnostics (X-ray, CT-scan) surgical resection of ossifications can lead to freedom from symptoms. Recurrence is effectively prevented by NSAIDs or radiatio.
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Literatur
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- 3 Ganz R, Gill TJ, Gautier E. et al. Surgical dislocation of the adult hip: a technique with full accessto the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br 2001; 83: 1119-1124.
- 4 Vavken P, Castellani L, Sculco TP. Prophylaxis of heterotopic ossification of the hip. Clin Orthop Relat res 2009; 467: 3283-3289.
- 5 Yeung M, Jamshidi S, Horner N. et al. Efficacy of Nonsteroidal Anti-inflammatory Drug Prophylaxis for Heterotrophic Ossification in Hip Arthroscopy: A Systematic Review. Arthroscopy 2016; 32 (Suppl. 03) 519-525.