Severe Heterotopic Ossification following Total Knee Replacement

Although the incidence of minor heterotopic ossification is probably higher than what is usually expected, severe heterotopic ossification (HO) is an extremely rare event following total knee replacement surgery. We present the case of a 66-year-old woman who initially had achieved an excellent rang...

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Main Authors: Alexander L. Dodds, Gregory C. R. Keene
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2014/265489
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author Alexander L. Dodds
Gregory C. R. Keene
author_facet Alexander L. Dodds
Gregory C. R. Keene
author_sort Alexander L. Dodds
collection DOAJ
description Although the incidence of minor heterotopic ossification is probably higher than what is usually expected, severe heterotopic ossification (HO) is an extremely rare event following total knee replacement surgery. We present the case of a 66-year-old woman who initially had achieved an excellent range of motion following bilateral uncemented rotating platform total knee replacement, before presenting with pain and loss of range of motion at 2 months after surgery. Severe HO was diagnosed on X-rays. Treatment consisted of nonoperative measures only, including physiotherapy with hydrotherapy and anti-inflammatories. She eventually regained her range of motion when seen at 8 months after operation. This case illustrates that nonoperative treatment without the use of radiotherapy or surgery can be used to safely resolve stiffness caused by HO after total knee replacement.
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spelling doaj-art-d4c3779baddb4cd88c282e6d6d1333d22025-08-20T02:19:58ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/265489265489Severe Heterotopic Ossification following Total Knee ReplacementAlexander L. Dodds0Gregory C. R. Keene1Sportsmed SA, 32 Payneham Road, Stepney, Adelaide, SA 5069, AustraliaSportsmed SA, 32 Payneham Road, Stepney, Adelaide, SA 5069, AustraliaAlthough the incidence of minor heterotopic ossification is probably higher than what is usually expected, severe heterotopic ossification (HO) is an extremely rare event following total knee replacement surgery. We present the case of a 66-year-old woman who initially had achieved an excellent range of motion following bilateral uncemented rotating platform total knee replacement, before presenting with pain and loss of range of motion at 2 months after surgery. Severe HO was diagnosed on X-rays. Treatment consisted of nonoperative measures only, including physiotherapy with hydrotherapy and anti-inflammatories. She eventually regained her range of motion when seen at 8 months after operation. This case illustrates that nonoperative treatment without the use of radiotherapy or surgery can be used to safely resolve stiffness caused by HO after total knee replacement.http://dx.doi.org/10.1155/2014/265489
spellingShingle Alexander L. Dodds
Gregory C. R. Keene
Severe Heterotopic Ossification following Total Knee Replacement
Case Reports in Orthopedics
title Severe Heterotopic Ossification following Total Knee Replacement
title_full Severe Heterotopic Ossification following Total Knee Replacement
title_fullStr Severe Heterotopic Ossification following Total Knee Replacement
title_full_unstemmed Severe Heterotopic Ossification following Total Knee Replacement
title_short Severe Heterotopic Ossification following Total Knee Replacement
title_sort severe heterotopic ossification following total knee replacement
url http://dx.doi.org/10.1155/2014/265489
work_keys_str_mv AT alexanderldodds severeheterotopicossificationfollowingtotalkneereplacement
AT gregorycrkeene severeheterotopicossificationfollowingtotalkneereplacement