Journals / Selçuk Tıp Dergisi / 2000 / Cilt: 16 - Sayı: 4
Heterotopic ossification after interlocking intromedullary reamed nailing for fractures of the femoral shaft
- Journal
- Selçuk Tıp Dergisi
- Pages
- 279–284
- DOI
- —
Abstract
Postoperative heterotopic ossification (HO) around the hip is common following total hip arthroplasty and after surgical treatment of the acetabular fractures. However, its occuring after intramedullary nailing operations for femoral fractures is relatively uncommon and not well documented. The purpose of this study was to evaluate the clinical importance and aspects of heterotopic ossification after intramedullary nailing. Between October 1995 and March 1999, 70 patients treated by intramedullary femoral locked and reamed femoral nailing were followed and studied, prospectively. There were 63 male and 7 female and average age was 34 years (17 to 70). To determine of HO, the criteria described by Brumback et al. were used. Mean follow-up was 18 months (9 to 48 months). Ten patients were lost to followup, thus 60 patients remained were evaluated. Grade I HO developed in 4 patients (7%), grade II in 1 patient (1.5%) and grade III in 1 patient (1.5%). The patients who developed HO were treated by conservative methods with success. In conclusion, the findings of this study support that heterotopic ossification after intramedullary femoral nailing is uncommon and not a great problem in management of this patients.
Özet
Ameliyat sonrasi kalça çevresinde heterotopik ossifikasyon (HO) olusumu, siklikla total kalça protezi ameliyatlari ve asetabulum kiriklarinin cerrahi tedavisi sonrasi ortaya çikmaktadir. Femur cisim kiriklarinin intramedüller çivilenmesi sonrasi HO olusumu ise, daha az görülen ve fazla arastirilmamis bir konu olmaya devam etmektedir. Bu çalismanin amaci, intrameduller kilitli femoral çivileme ameliyatlari sonrasi kalça bölgesinde HO gelisiminin olusum ve tedavi özellikleri ile klinik öneminin degerlendirilmesidir. Ekim 1995 ile Mart 1999 arasinda, femur cisim kirigi nedeniyle kilitli intramedüller çivileme teknigi ile tedavi edilen 70 hasta prospektif olarak izlendi. Hastalarin 63' ü erkek (%90), 7'si kadin (%10) , ortalama yas 34 dü (17-70 yas). HO gelisimi Brumback ve ark'nin. tanimladigi kriterler kullanilarak degerlendirildi. 10 hasta takipten ayrildi ve kalan 60 hastanin ortalama 18 ay (9-48 ay) takipleri yapildi. 4 hastada (%7) I.derece, 1 hastada (%1.5) II. derece ve 1 hastada (% 1.5) III. derece HO gelisimi tesbit edildi. HO gelisen tüm hastalar konservatif tedavi ile basarili bir sekilde iyilestiler. Sonuç olarak, bu çalismada elde edilen bulgular, femur cisim kiriklarinin intrameduller çivileme ameliyatlarindan sonra HO olusumunun, önemli bir klinik sorun olmadigi görüsünü desteklemektedir.