Service de Chirurgie Orthopédique, Traumatologie et Chirurgie Réparatrice des Membres, Hôpital d’Instruction des Armées Percy, France
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Traumatic neurological lesions may lead to development of heterotopic ossification. These cases are classified as ‘neurogenic heterotopic ossifications’ (NHOs). The associated neurological lesions can be caused by cranial trauma or spinal cord injury and may sometimes include a local trauma.
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NHOs that form around the hip joints are of particular interest because they often cause the patient to avoid the sitting position or the resumption of walking.
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Whilst NHO can involve the knee, shoulder and elbow joints, hip-involving NHOs are more numerous, and sometimes develop in close contact with vascular or neurological structures.
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Multi-disciplinary clinical examination is fundamental to evaluate patients for surgical intervention and to define the objectives of the surgery. The best investigation to define an NHO mass is a computerized tomography (CT) scan.
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Resection is performed to liberate a fused joint to provide functionality, and this need not be exhaustive if it is not necessary to increase the range of motion.
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While recurrence does occur post-surgery, a partial resection does not pose a greater risk of recurrence and there are no adjuvant treatments available to reduce this risk.
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The greatest risks associated with NHO surgical resection are infection and haematoma; these risks are very high and must be considered when evaluating patients for surgery.
Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180098
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Introduction Bearing partners for artificial joint implants are usually composed of ceramic, high-quality plastic or durable metal and are used to replace the damaged joint(s) (i.e. hip, knee, shoulder, ankle and elbow joints). Among a variety
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efficacy. The current literature on FiberWire cerclage focuses on its use in revision total shoulder arthroplasty periprosthetic fractures and implant stabilization. 71 Future studies are needed investigating the utility of the FiberWire cerclage
Division of Orthopaedics and Trauma Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland
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Faculty of Medicine, University of Berne, Berne, Switzerland
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stems from the Corail family, despite the strong belief of the designer that sufficient diaphyseal anchorage would always be available for uncemented fixation. The latest development of the Zweymüller stem was the SL-MIA. The shoulder was removed to
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Connolly Hospital, Orthopaedic Department, Dublin, Ireland
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implants are wider than Type 1 implants in the antero-posterior dimension, with rounded edges and curved or shoulder back. These design features are used to improve rotational stability and prevent stem subsidence and debonding at the implant cement
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assessment, intravenous antibiotic therapy, and surgical treatment as deemed necessary. Most studies concern septic arthritis in the adult native knee joint. But, as occurs in other joints (shoulder, sternoclavicular or wrist), bacterial arthritis of the
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden
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Swedish Hip Arthroplasty Register, Gothenburg, Sweden
Department of Orthopaedics, Prince Philip Hospital, HDUHB, Wales
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Finnish Arthroplasty Register, Helsinki, Finland
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden
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%20year%20Report.pdf ( date last accessed 16 January 2018 ). 8. No authors listed . Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) . Hip, Knee & Shoulder Arthroplasty: 2017 Annual Report . Adelaide: AOA , 2017
Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy.
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-interposition arthroplasty (PFRIA) seems associated with more reliable surgical outcomes. 48 , 49 In order to reduce the risk of bone-to-bone impingement when proximal migration of the femur occurs, Silverio et al 50 proposed the interposition of a shoulder
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2022. 4 Register of Orthopaedic Prosthetic Implants . Overall Data Hip, Knee and Shoulder Arthroplasty in the Emilia-Romagna Rehion (Italy). 1st January 2000 – 31st December 2009 . Register of Orthopaedic Prosthetic Implants, 2022 . Available at
IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy
Fondazione Livio Sciutto Onlus, Campus Savona – Università degli Studi di Genova, Savona, Italy
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Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands
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Fondazione Livio Sciutto Onlus, Campus Savona – Università degli Studi di Genova, Savona, Italy
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://www.ema.europa.eu/en/documents/scientific-guideline/draft-guideline-safety-efficacy-follow-risk-management-advanced-therapy-medicinal-products-revision_en.pdf ) 32 National Guideline Centre (UK) . Evidence Review for Long-Term Follow-Up and Monitoring: Joint Replacement (Primary): Hip, Knee and Shoulder: Evidence Review T [Internet] . London (UK) : National Institute for Health and Care Excellence , 2020
