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Heterotopic ossification following total elbow arthroplasty.

Abstract Aim The primary aim of this retrospective study was to identify the incidence of heterotopic ossification (HO) following elective and trauma elbow arthroplasty. The secondary aim was to determine clinical outcomes with respect to the formation of heterotopic ossification. Patients and Methods A total of 55 total elbow arthroplasties (TEAs) (52 patients) performed between June 2007 and December 2015 were eligible for inclusion in the study (29 TEAs for primary elective arthroplasty and 26 TEAs for trauma). At review, 15 patients (17 total elbow arthroplasties) had died from unrelated causes. There were 14 men and 38 women with a mean age of 70 years (42 to 90). The median clinical follow-up was 3.6 years (1.2 to 6) and the median radiological follow-up was 3.1 years (0.5 to 7.5). Results The overall incidence of HO was 84% (46/55). This was higher in the trauma group (96%, 25/26) compared with the elective arthroplasty group (72%, 21/29) (p = 0.027, Fisher's exact test). Patients in the trauma group had HO of higher Brooker class. The presence of HO did not significantly affect elbow range of movement within the trauma or elective groups (elective arthroplasty, Mann-Whitney U test, p = 0.070; trauma arthroplasty, p = 0.370, Mann-Whitney U test). Conclusion HO after total elbow arthroplasty is seen more commonly than previously reported. We have reported a significantly higher rate of HO in TEAs performed for trauma than those performed electively. Cite this article: Bone Joint J 2018;100-B:767-71.
PMID
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Authors

Mayor MeshTerms
Keywords

Elbow

Elbow arthropathy

Elbow fracture

Elbow trauma

Heterotopic ossification

Total elbow arthroplasty

Total elbow replacement

Journal Title the bone & joint journal
Publication Year Start




PMID- 29855240
OWN - NLM
STAT- MEDLINE
DCOM- 20180612
LR  - 20180612
IS  - 2049-4408 (Electronic)
IS  - 2049-4394 (Linking)
VI  - 100-B
IP  - 6
DP  - 2018 Jun 1
TI  - Heterotopic ossification following total elbow arthroplasty.
PG  - 767-771
LID - 10.1302/0301-620X.100B6.BJJ-2017-0535.R2 [doi]
AB  - Aim The primary aim of this retrospective study was to identify the incidence of 
      heterotopic ossification (HO) following elective and trauma elbow arthroplasty.
      The secondary aim was to determine clinical outcomes with respect to the
      formation of heterotopic ossification. Patients and Methods A total of 55 total
      elbow arthroplasties (TEAs) (52 patients) performed between June 2007 and
      December 2015 were eligible for inclusion in the study (29 TEAs for primary
      elective arthroplasty and 26 TEAs for trauma). At review, 15 patients (17 total
      elbow arthroplasties) had died from unrelated causes. There were 14 men and 38
      women with a mean age of 70 years (42 to 90). The median clinical follow-up was
      3.6 years (1.2 to 6) and the median radiological follow-up was 3.1 years (0.5 to 
      7.5). Results The overall incidence of HO was 84% (46/55). This was higher in the
      trauma group (96%, 25/26) compared with the elective arthroplasty group (72%,
      21/29) (p = 0.027, Fisher's exact test). Patients in the trauma group had HO of
      higher Brooker class. The presence of HO did not significantly affect elbow range
      of movement within the trauma or elective groups (elective arthroplasty,
      Mann-Whitney U test, p = 0.070; trauma arthroplasty, p = 0.370, Mann-Whitney U
      test). Conclusion HO after total elbow arthroplasty is seen more commonly than
      previously reported. We have reported a significantly higher rate of HO in TEAs
      performed for trauma than those performed electively. Cite this article: Bone
      Joint J 2018;100-B:767-71.
FAU - Robinson, P M
AU  - Robinson PM
AD  - Department of Trauma and Orthopaedics, Peterborough City Hospital, North West
      Anglia NHS Foundation Trust, Peterborough, UK and Northern General Hospital,
      Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
FAU - MacInnes, S J
AU  - MacInnes SJ
AD  - Northern General Hospital, Sheffield Teaching Hospitals NHS Foundation Trust,
      Sheffield, UK.
FAU - Stanley, D
AU  - Stanley D
AD  - BMI Thornbury Hospital, Sheffield, UK.
FAU - Ali, A A
AU  - Ali AA
AD  - Northern General Hospital, Sheffield Teaching Hospitals NHS Foundation Trust,
      Sheffield, UK.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - England
TA  - Bone Joint J
JT  - The bone & joint journal
JID - 101599229
SB  - AIM
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Arthroplasty, Replacement, Elbow/*adverse effects
MH  - Elbow Joint/injuries/*surgery
MH  - Elective Surgical Procedures/*adverse effects
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Humeral Fractures/*surgery
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Ossification, Heterotopic/*epidemiology/etiology
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Elbow
OT  - Elbow arthropathy
OT  - Elbow fracture
OT  - Elbow trauma
OT  - Heterotopic ossification
OT  - Total elbow arthroplasty
OT  - Total elbow replacement
EDAT- 2018/06/02 06:00
MHDA- 2018/06/13 06:00
CRDT- 2018/06/02 06:00
PHST- 2018/06/02 06:00 [entrez]
PHST- 2018/06/02 06:00 [pubmed]
PHST- 2018/06/13 06:00 [medline]
AID - 10.1302/0301-620X.100B6.BJJ-2017-0535.R2 [doi]
PST - ppublish
SO  - Bone Joint J. 2018 Jun 1;100-B(6):767-771. doi:
      10.1302/0301-620X.100B6.BJJ-2017-0535.R2.