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Postburn heterotopic ossification: insights for management decision making.
S L Peterson1, M M Mani, C M Crawford
1Department of Surgery, University of Kansas Medical Center, Kansas City 66103.
The Journal of Trauma
|March 1, 1989
Summary
Heterotopic ossification, a bone growth complication, affects burn patients, primarily in the elbows. While physical therapy helps some, others require surgery for joint mobility.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Burn Surgery
Background:
- Heterotopic ossification (HO) is a debilitating complication following severe burns.
- Early identification and management are crucial for functional recovery.
Observation:
- A retrospective analysis of 1,478 burn admissions identified 18 cases (1.2%) of heterotopic ossification.
- Elbows were the most common site (17 patients), followed by the shoulder (1 patient).
- Bilateral elbow involvement occurred in two patients.
Findings:
- Patients presented with pain and limited joint motion, diagnosed via radiography.
- Physical therapy (active range of motion) led to functional recovery in 10 patients.
- Eight patients developed ankylosis requiring surgical intervention, achieving functional range of motion post-surgery.
Implications:
- Burn-related heterotopic ossification presents a significant challenge to joint function.
- A combination of conservative and surgical approaches can restore mobility.
- Further research into preventative strategies for burn patients is warranted.