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Risk factors for heterotopic ossification in total hip arthroplasty.
Eggli, S; Woo, A.
Afiliación
  • Eggli S; Department of Orthopaedic Surgery, University of Berne, Inselspital, Switzerland. seggli@netscape.net
Arch Orthop Trauma Surg ; 121(9): 531-5, 2001 Oct.
Article en En | MEDLINE | ID: mdl-11599757
This study prospectively evaluated 928 patients with 1318 primary total hip replacements for heterotopic ossification (HO). The mean clinical and radiological follow-up was 2.5 years (range 1.5-3.6 years). HO was noted in 44.6% of all total hips replaced. It was graded as mild (Brooker 1) in 29.2%, moderate (Brooker 2) in 10.5%, and severe (Brooker 3 and 4) in 4.2%. The following factors showed a significantly increased risk of HO: hypertrophic osteoarthritis, HO after contralateral total hip replacement, trochanteric osteotomy, lateral or anterolateral approach, previous hip surgery, subtrochanteric femoral osteotomy, and male gender (p < 0.05 in chi-square analysis of independence and multivariable analysis). Patients with rheumatoid arthritis showed less HO. A combination of any of these factors resulted in a significant increase in the risk of developing HO.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Osificación Heterotópica / Artroplastia de Reemplazo de Cadera Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Arch Orthop Trauma Surg Año: 2001 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Osificación Heterotópica / Artroplastia de Reemplazo de Cadera Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Arch Orthop Trauma Surg Año: 2001 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania