Ho

[topwise]

For those of you who do inpatient rehab, I'm just wondering what you do in the treatment or ppx of heterotopic ossification? I've been looking at some recent reviews that seem to support prophylaxis with NSAIDs and etidronate, but that once the HO is forming, there isn't as much you can do.

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[RUOkie]

For those of you who do inpatient rehab, I'm just wondering what you do in the treatment or ppx of heterotopic ossification? I've been looking at some recent reviews that seem to support prophylaxis with NSAIDs and etidronate, but that once the HO is forming, there isn't as much you can do.

Is it ossified yet? If not, then high dose etidronate and consider XRT. Once it is calcified and shows up on x-ray all you can do is wait until mature, get it removed and then intraop/postop XRT.

 

[topwise]

What about NSAIDs?

If it is seen on X-ray but just barely, is it still too late?

 

[RUOkie]

no, give the etidronate and nsaids and agressive ROM (It had better hurt)

and pray.

 

[SSdoc33]

i vaguely remember something about a 3-phase bone scan. but i wouldnt consider myself the world's foremost expert on HO