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Published on: August 6, 2015
Risk Factors for the Development of Heterotopic Ossification After Conversion Total Hip Arthroplasty
Johnathan W Riley1, Humberto A Aparicio2, Clarence J Clark2
1University of Mississippi Medical Center School of Medicine, Jackson, Mississippi; Department of Orthopaedic Surgery and Rehabilitation, University of Mississippi Medical Center, Jackson, Mississippi.
Heterotopic ossification risk is higher after conversion total hip arthroplasty (THA) if patients previously had ectopic bone. Longer surgery times and African American race also increase this risk.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Bone Biology
Background:
- Heterotopic ossification (HO) is a known complication of primary total hip arthroplasty (THA).
- Research on HO incidence following conversion THA from prior fracture fixation is limited.
Purpose of the Study:
- To investigate the incidence and risk factors for heterotopic ossification after conversion total hip arthroplasty (THA).
- To analyze the impact of prior HO, surgical details, and demographics on HO development post-conversion THA.
Main Methods:
- Retrospective chart review of 75 patients undergoing conversion THA after acetabular or hip fracture fixation.
- Analysis included demographics, comorbidities, surgical variables, prophylaxis, and Brooker classification of HO.
Main Results:
- 25 of 75 hips (33.3%) developed HO post-conversion THA.
- Prior HO significantly increased HO risk by three times.
- Longer operative times and African American race were associated with increased HO risk.
Conclusions:
- Prior HO, prolonged operative times, and African American race are significant risk factors for HO after conversion THA.
- Prophylaxis after initial surgery did not impact HO development post-conversion.
- Further research and prophylactic strategies for high-risk patients are warranted.
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