Preoperative, single-fraction irradiation for prophylaxis of heterotopic ossification after total hip arthroplasty.
We gave a single fraction of 750 cGy preoperatively (within 16 h of surgery) to 143 patients prior to total hip arthroplasty. The patients were evaluated for heterotopic ossification at 1, 3 and 6 months. The preoperative radiation did not affect the surgical procedure. After a median follow-up of 12 (6-24) months we encountered six patients with heterotopic ossifications of Brooker grade I-II. Potential late risks from ionising radiation should be considered when treating younger patients.
Lonardi
F
F
Unità Operativa di Radioterapia, Ospedale Civile, Legnago (VR), Italy. flonar@hotmail.com
Gioga
G
G
Coeli
M
M
Ruffo
P
P
Agus
G
G
Pizzoli
A
A
Campostrini
F
F
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009999:Ossification, Heterotopic / Q000517:prevention & control* / Q000532:radiotherapy; D011183:Postoperative Complications / Q000517:prevention & control* / Q000532:radiotherapy; D011879:Radiotherapy Dosage; D012086:Reoperation