How do you remove heterotopic ossification?

In the case of heterotopic ossification, the only effective treatment is excision, also called resection. Dr. Nwachukwu will often delay surgical excision for 5-6 months following the initial hip trauma and/or inciting surgery, allowing the bone growth to mature and for a distinct fibrous capsule to develop.

What doctor treats heterotopic ossification?

When heterotopic ossification (HO) is severe or problematic and causes pain, or affects a patient’s mobility and function, it should be managed by an orthopaedic surgeon. Occasionally, that involves surgery or a revision procedure to resolve the problem.

What does heterotopic ossification mean?

Heterotopic ossification (HO) is the presence of bone in soft tissue where bone normally does not exist. The acquired form of HO most frequently is seen with either musculoskeletal trauma, spinal cord injury, or central nervous system injury.

Does heterotopic ossification require surgery?

Surgical Therapy Heterotopic ossification (HO) is seldom excised, because pain relief is often inadequate and improvement in range of motion (ROM) may not last.

How serious is heterotopic ossification?

If the cause of pain or discomfort is not found and treated immediately, serious complications, such as stroke, seizure, organ damage, permanent brain injury or even death, may occur. Autonomic dysreflexia can occur with HO as the abnormal bone growth causes pain that the brain doesn’t recognize because of SCI.

Can heterotopic ossification be treated?

Patients with a high risk of developing HO are often given prophylactic treatment following primary or revision arthroplasty. All patients undergoing excision of symptomatic HO should also receive some form of prophylaxis. The two main treatments available are radiation therapy and NSAIDs.

How long does heterotopic ossification last?

HO usually occurs 3 to 12 weeks after inciting injury [8], but can take up to 6 months to present. Look for a recent history of arthroplasty (total hip arthroplasty [THA], total knee arthroplasty), stroke, SCI, TBI, or burn. The most common presentation will be pain and decreased range of motion (ROM).

How common is heterotopic ossification?

Heterotopic ossification is a common complication of total hip arthroplasty. Its prevalence is not the same in all of the patient groups. Frequency of HO varies from 15 to 90%.

What is the definition of heterotopic ossification ( HO )?

Heterotopic ossification (HO) is a diverse pathologic process, defined as the formation of extraskeletal bone in muscle and soft tissues. HO can be conceptualized as a tissue repair process gone awry and is a common complication of trauma and surgery. This comprehensive review seeks to synthesize th …

How big should the ROM be for heterotopic ossification?

Significantly limited ROM of involved joint (e.g., hip should have < 50 deg ROM) for most patients, progression to joint ankylosis is the most serious complication of heterotopic ossification. Absence of local fever, swelling, erythema, or other clinical findings of acute heterotopic ossification. Normal serum alkaline phosphate levels.

What are the symptoms of heterotopic ossification in the knee?

The most common presentation is with pain around the ossification site. Associated features can include fever, soft tissue swelling, and poor mobility of the affected joint.

When does heterotopic ossification occur in sickle cell anemia?

Neurogenic heterotopic ossification occurs after sickle cell anemia, hemophilia, tetanus, poliomyelitis, multiple sclerosis, and toxic epidermal necrolysis. Neurogenic HO develops only in sites distal to the level of the spinal cord injury.