HETEROTOPIC OSSIFICATION AFTER FEMORAL INTRAMEDULLARY RODDING

被引：33

作者：

STEINBERG, GG

HUBBARD, C

机构：

[1] University of Massachusetts Medical Center, Worcester, MA

来源：

JOURNAL OF ORTHOPAEDIC TRAUMA | 1993年 / 7卷 / 06期

关键词：

HETEROTOPIC OSSIFICATION; COMPLICATIONS OF FEMORAL RODDING; HEAD INJURY;

D O I：

10.1097/00005131-199312000-00009

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Heterotopic ossification (HO) after femoral intramedullary rodding is a significant complication of the procedure. One hundred eighteen cases of femoral roddings performed on 113 patients were available for review. The data were computerized and evaluated using univariate analysis and multivariate regression analysis. A statistically significant increase of HO was found with male gender, increased delay to surgery, and in patients requiring prolonged intubation because of their multiple injuries. HO was classified using a modified version of the method of Brumback et al. (grades 0-IV). A strong correlation of HO with brain injury documented by computed tomography scan was also found to be statistically significant for the more severe grades of HO. This group of patients had not previously been identified as being at high risk for HO.

引用

页码：536 / 542

页数：7

共 16 条

[1]

Ahrengant L., Periarticular heterotopic ossification after total hip arthroplasty, Clin Orthop, 263, (1991)

[2]

Baker S., Ouell B., Haddon W., Long W., The Injury Severity Score: A method for prescribing patients with multiple injuries and evaluating emergency care, J Trauma, 14, (1974)

[3]

Brumback R., Wells D., Lakates R., Poka A., Bathon H., Burgess A., Heterotopic ossification about the hip after intramedullary rodding for fractures of the femur, J Bone Joint Surg [Am], 72, (1990)

[4]

Garland D., A clinical perspective on common forms of acquired heterotopic ossification, Clin Orthop, 263, (1991)

[5]

Garland D., Miller G., Fractures and dislocations about the hip in head-injured adults, Clin Orthop, 186, (1984)

[6]

Garland D., Rhodes M., Orthopedic management of brain-injured adults, Clin Orthop, 131, (1978)

[7]

Garland D., Blum C., Waters R., Periarticular heterotopic ossification in head-injured adults, J Bone Joint Surg [Am], 62, (1980)

[8]

Kevet D., Hancke T., Mendez A., Bouce R., Heterotopic ossification in central nervous system-injured patients following closed rodding of femoral fractures, Clin Orthop, 256, (1990)

[9]

Kountscher G., Practice of Intramedullary Nailing, (1967)

[10]

Marks M., Barber J., Stinsen J., Heterotopic ossification around the hip with intramedullary rodding of the femur, J Trauma, 28, (1988)

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