Influence of etiology in heterotopic bone formation of the hip
Influence of etiology in heterotopic bone formation of the hip
复制标题
DOI：
10.1097/00005373-200006000-00010
复制
发表时间：
2000-06-01
影响因子：
--
通讯作者：
Schulte, M
中科院分区：
文献类型：
--
作者：
Ebinger, T;Roesch, M;Schulte, M
目的：关节周围组织异位骨化（HO）可发生于颅脑或局部关节创伤后。本研究的目的是研究单纯脑损伤（n = 18）、局部髋关节创伤（n = 21）或两者联合（n = 25）后髋关节HO患者的表现和手术治疗后的结果差异。HO可导致关节活动进行性丧失;一旦成熟，唯一改善关节活动度的治疗方法是切除。所有患者均接受手术切除HO和术后放射治疗。根据平片所见，我们评估了1年和5年随访期后的复发骨化。在这项前瞻性研究中，临床表现状态进行评分，根据d 'Aubigne和求积仪的分类被用来评估异位骨形成的标准X射线Films.Results：格拉斯哥昏迷量表观察到的脑外伤的严重程度与骨化的大小（平方厘米）。脑损伤的严重程度和功能结果之间也存在相关性。平均1年和5年随访期的评价显示，所有患者的疼痛缓解和活动范围明显改善。术后第一年内有轻度复发的异位骨生长，而不恶化的功能result.Conclusion：脑外伤的严重程度有影响的程度上的NO髋关节附近，也对康复过程。HO切除后的组织学表现和复发不受初始创伤的定位。在术后第一年到第五年，异位骨生长仅有轻度复发。对于标准X线片异位骨形成的客观评价，平面测量是一种有用的方法。
Objective: Heterotopic ossification (HO) in periarticular tissue can appear after brain or Local joint trauma. The aim of this study was to investigate differences of manifestation and outcome after surgical therapy of patients suffering from HO of the hip after isolated brain injury (n = 18), local hip trauma (n = 21), or the combination of both (n = 25), HO can cause progressive Lost of joint movement; once mature, the only therapy to improve joint mobility is the excision,Methods: All patients underwent surgical removal of HO and postoperative irradiation therapy. On the basis of plain radiographic findings, we evaluated the recurrent ossification after 1-year and 5-year follow-up periods. Within this prospective study, clinical performance status was scored according to the classification of d'Aubigne and a planimeter was used to evaluate the area of heterotopic bone formation in standard x-rays Films.Results: The severity of brain trauma observed by Glasgow Coma Scale correlated with the ossification size (square centimeters). Correlation was noticed as well between severity of brain injury and functional outcome. The evaluation of an average I-year and 5-year follow-up period showed relief of pain and clear improvement of range of motion in all patients. There was mild recurrence of heterotopic hone growth within the first postoperative year without deterioration of the functional results.Conclusion: The severity of brain trauma has an influence on the extent of NO near the hip joint and also on the rehabilitation process. The histologic findings and recurrence of HO after excision were not affected by the localization of initial trauma. There was only mild recurrence of heterotopic bone growth between the first and fifth postoperative year. For objective evaluation of heterotopic bone formation in standard x-ray films, planimetric measurement is a useful method.