title: The clinical implications of heterotopic ossification in patients treated with radial head replacement for trauma: A case series and review of the literature.
abstract: Radial head arthroplasty (RHA) is an acceptable treatment for comminuted radial head fractures (RHF). Fourteen patients with no postop HO prophylaxis were treated with RHA for comminuted RHF. A 50% incidence in HO was seen following RHA with a statistically increased risk (p ≤ 0.05) of reoperation compared to those without HO. Decreased ROM was seen on the affected side (p ≤ 0.05); patients without HO showed no statistical difference (p ≥ 0.05) in ROM or grip strength. HO following RHA increases patient risk for reoperation and decreases ROM. We recommend HO prophylaxis with NSAIDs and/or radiotherapy if no direct patient contraindications are found.
authors.affiliation: Medical University of South Carolina, Charleston, SC, United States.
authors.forename: Seth H
authors.initials: SH
authors.lastname: Bowman
authors.affiliation: Medical University of South Carolina, Charleston, SC, United States.
authors.forename: William R
authors.initials: WR
authors.lastname: Barfield
authors.affiliation: Medical University of South Carolina, Charleston, SC, United States.
authors.forename: Harris S
authors.initials: HS
authors.lastname: Slone
authors.affiliation: Medical University of South Carolina, Charleston, SC, United States.
authors.forename: Gerald J
authors.initials: GJ
authors.lastname: Shealy
authors.affiliation: Medical University of South Carolina, Charleston, SC, United States.
authors.forename: Zeke J
authors.initials: ZJ
authors.lastname: Walton
keywords: Elbow heterotopic ossification; Heterotopic ossification (HO); Proximal radius fracture; Radial head; Radial head arthroplasty; Radial head fracture; Radial head replacement