Pelvic heterotopic ossification following total hip replacement causing fusion of femur shaft to pelvis

Background: There is scarcity of literature exploring the risk factors for Heterotopic Ossification (HO) after Total Hip Replacement (THR) being performed for comminuted proximal femur fractures. HO occurring after THR usually involves the lateral side. HO occurring between the pubis and femur has r...

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Main Authors: Satvik N. Pai, Mohan M. Kumar
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Journal of Orthopaedic Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2773157X23001091
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author Satvik N. Pai
Mohan M. Kumar
author_facet Satvik N. Pai
Mohan M. Kumar
author_sort Satvik N. Pai
collection DOAJ
description Background: There is scarcity of literature exploring the risk factors for Heterotopic Ossification (HO) after Total Hip Replacement (THR) being performed for comminuted proximal femur fractures. HO occurring after THR usually involves the lateral side. HO occurring between the pubis and femur has rarely been reported, and if occurring, have not been reported to be joining the femur and pelvis. Case details: We present a case of HO occurring in a 60 year old gentleman after THR was done for a comminuted proximal femoral fracture. The HO was noted to be joining the medial aspect of the femur shaft to the pelvis. This bridging HO was found to restrict the range movements of the hip and adversely impact the functional outcome of the THR. Conclusion: This report is a lesson for orthopaedic surgeons performing THR following proximal femoral fractures to avoid leaving behind any loosely attached fracture fragments as they could increase the risk of HO.
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spelling doaj.art-56c4d45b612a4320bd9ef83c4942cbe52024-03-15T04:45:01ZengElsevierJournal of Orthopaedic Reports2773-157X2024-03-0131100237Pelvic heterotopic ossification following total hip replacement causing fusion of femur shaft to pelvisSatvik N. Pai0Mohan M. Kumar1Department of Orthopaedic Surgery, Aster RV Hospital, Bangalore, India; Corresponding author. Department of Orthopaedic Surgery, Aster RV Hospital, JP Nagar, Bangalore, 560078, India.Department of Orthopaedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, IndiaBackground: There is scarcity of literature exploring the risk factors for Heterotopic Ossification (HO) after Total Hip Replacement (THR) being performed for comminuted proximal femur fractures. HO occurring after THR usually involves the lateral side. HO occurring between the pubis and femur has rarely been reported, and if occurring, have not been reported to be joining the femur and pelvis. Case details: We present a case of HO occurring in a 60 year old gentleman after THR was done for a comminuted proximal femoral fracture. The HO was noted to be joining the medial aspect of the femur shaft to the pelvis. This bridging HO was found to restrict the range movements of the hip and adversely impact the functional outcome of the THR. Conclusion: This report is a lesson for orthopaedic surgeons performing THR following proximal femoral fractures to avoid leaving behind any loosely attached fracture fragments as they could increase the risk of HO.http://www.sciencedirect.com/science/article/pii/S2773157X23001091Heterotopic ossificationTotal hip replacementProximal femur fracturePelvis
spellingShingle Satvik N. Pai
Mohan M. Kumar
Pelvic heterotopic ossification following total hip replacement causing fusion of femur shaft to pelvis
Journal of Orthopaedic Reports
Heterotopic ossification
Total hip replacement
Proximal femur fracture
Pelvis
title Pelvic heterotopic ossification following total hip replacement causing fusion of femur shaft to pelvis
title_full Pelvic heterotopic ossification following total hip replacement causing fusion of femur shaft to pelvis
title_fullStr Pelvic heterotopic ossification following total hip replacement causing fusion of femur shaft to pelvis
title_full_unstemmed Pelvic heterotopic ossification following total hip replacement causing fusion of femur shaft to pelvis
title_short Pelvic heterotopic ossification following total hip replacement causing fusion of femur shaft to pelvis
title_sort pelvic heterotopic ossification following total hip replacement causing fusion of femur shaft to pelvis
topic Heterotopic ossification
Total hip replacement
Proximal femur fracture
Pelvis
url http://www.sciencedirect.com/science/article/pii/S2773157X23001091
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