Ektope Ossifikationen

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.

Schlüsselwörter

Heterotope Ossifikationen - Brooker-Klassifikation - Komplikationen gelenkerhaltende Hüftoperation

Keywords

Heterotopic ossifications - Brooker-classification - complications of joint-preserving surgery of the hip

• Literatur

• 1 Brooker AF, Bowerman JW, Robinson RA, Riley Jr. LH. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am 1973; 55: 1629-1632.
• 2 Knelles D, Barthel T, Karrer A. et al. Prevention of heterotopic ossification after total hip replacement. A prospective, randomised study using acetylsalicylic acid, indomethacin and fractional or single-dose irradiation. J Bone Joint Surg Br 1997; 79 (Suppl. 04) 596-602.
• 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.