Early excision of heterotopic bone in the forearm
Early excision of heterotopic bone in the forearm
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DOI：
10.1053/jhsu.2000.6922
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发表时间：
2000-05-01
影响因子：
1.9
通讯作者：
King, GJW
中科院分区：
文献类型：
--
作者：
Beingessner, DM;Patterson, SD;King, GJW
本文回顾五位早期切除前臂异位骨，并辅以放射线及消炎痛治疗之病患。异位骨化的诱因包括远端肱二头肌肌腱修复、尺骨骨折以及桡骨和尺骨骨折。术前前臂平均旋转17度。手术时间平均为伤后4个月。患者在手术后接受500至1，000 cGy的放射治疗，并接受吲哚美辛治疗6周。术后平均37个月，前臂平均旋转136度。所有患者均恢复正常活动，影像学检查未见异位骨复发或其他治疗并发症。在过去，异位骨化超过12个月后切除一直主张，以防止复发。本研究的结果表明，早期切除，放射治疗和消炎痛是一个可行的选择，在治疗和预防复发异位骨化在前臂。（I Hand Surg 2000;25A：483-488.美国手外科学会版权所有（C）2000。
Five patients undergoing early excision of heterotopic bone in the forearm with radiation therapy and indomethacin were reviewed. Inciting causes of heterotopic ossification included distal biceps tendon repairs, ulna fractures, and a fracture of the radius and ulna. Preoperative forearm rotation are averaged 17 degrees. Excision was performed at an average of 4 months after injury. Patients were administered 500 to 1,000 cGy of radiation after surgery and received indomethacin for 6 weeks. At an average of 37 months after surgery the forearm rotation are averaged 136 degrees. All patients had resumed normal activities and had no radiographic recurrence of heterotopic bone or other treatment complications. In the past excision of heterotopic ossification after more than 12 months has been advocated to prevent recurrence. The results of this study suggest that Early excision with radiation therapy and indomethacin is a viable option in treating and preventing recurrent heterotopic ossification in the forearm. (I Hand Surg 2000;25A:483-488. Copyright (C) 2000 by the American Society for Surgery of the Hand.).