Review Article

Heterotopic Ossification: A Challenging Complication of Total Hip Arthroplasty: Risk Factors, Diagnosis, Prophylaxis, and Treatment

Table 1

Summary of the most relevant finding in literature.

Author YearResults

Schmidt et al. [15]1988Indomethacin is especially recommended for patients who are at high risk for HO.

Wright et al. [16]1994The severity of HO did not correlate with the HHS; the relationship between HO and range of motion (ROM) indicates that the Brooker index is a valid measurement.

Fingeroth et al. [17]1995A single dose of 6 Gy of radiation given within the first 3 postoperative days provides effective prophylaxis against HO.

Seegenschmiedt et al. [18]2001Both preoperative (within 24 h) and postoperative RT (within 72 h) are effective in preventing HO after hip surgery.

Saudan et al. [13]2007Celecoxib was more effective than ibuprofen in preventing heterotopic bone formation after total hip replacement.

Xu et al. [11]2014Considering the side effects of nonselective NSAIDs, selective COX-2 inhibitors were recommend for the prevention of HO after THA.

Lavernia et al. [9]2014A short course of celecoxib for pain aids in the prevention of HO after primary THR.

Winkler et al. [8]2016Etoricoxib and diclofenac are equally effective for oral HO prophylaxis after primary cementless THA when given for nine peri-operative days.