Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
arthroplasty topic hub

Heterotopic Ossification after Hip Arthroplasty

HO = abnormal bone formation in periarticular soft tissues after surgery or trauma. Incidence after THA: 20–50%; clinically significant in 5–10%. Risk factors: male sex, hypertrophic OA, ankylosing spondylitis, previous HO. Classification: Brooker I–IV (X-ray based). Prophylaxis: NSAIDs, radiotherapy; treatment = excision if severe functional limitation.

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HO = abnormal bone formation in periarticular soft tissues after surgery or trauma. Incidence after THA: 20–50%; clinically significant in 5–10%. Risk factors: male sex, hypertrophic OA, ankylosing spondylitis, previous HO. Classification: Brooker I–IV (X-ray based). Prophylaxis: NSAIDs, radiotherapy; treatment = excision if severe functional limitation.
MCQs

High-yield practice questions

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Question 1

What is the primary risk factor for developing heterotopic ossification (HO) after total hip arthroplasty (THA)?

Question 2

Which classification system is used to describe the severity of heterotopic ossification?

Question 3

Which of the following statements about the pathophysiology of heterotopic ossification is true?

Question 4

What is the most commonly recommended pharmacological prophylaxis for preventing heterotopic ossification after THA?

Question 5

Which Brooker classification indicates a near-complete loss of hip motion due to heterotopic ossification?

Question 6

In the context of heterotopic ossification, which condition is associated with particularly severe and aggressive HO?

Question 7

What is the role of radiotherapy in the prevention of heterotopic ossification?

Question 8

Which of the following is NOT considered a risk factor for developing heterotopic ossification after THA?

Question 9

What is the time frame for heterotopic ossification to fully mature post-surgery?

Question 10

When is surgical excision of heterotopic ossification typically indicated?