NEUROGENIC HETEROTOPIC OSSIFICATION OF THE HIP : A SURGICAL MANAGEMENT
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Abstract
Neurogenic Heterotopic ossifications (NHO) is a condition in which unregulated spontaneous formation of bone tissue in between the muscles occurs especially around periarticular areas of large joints. Our aim of the study is to evaluate the clinical, functional and complication of the surgical management of Neurogenic Heterotopic Ossification of the hip joints.
Method and material : Medical records of 3 patients who had undergone surgical resection for NHO were reviewed in retrospect from 2018 to 2020. All 3 patients had suffered from road traffic accidents with traumatic brain injury. Preoperative x rays and CT scans were done to assess the location and size of ossification. Anterior approach was used to operate the NHO.
Results: The mean age of the patients was 36.67 years. The mean age of the patients in our study was 36.67 years (28-43 years). All 3 patients were males with history of RTA. All 3 had involvement of the right hip. The mean duration from accident to presentation to our institute was 9.33 months. All patients had preoperative ambulatory score of 4. The mean postoperative ambulatory score at end of follow up period was 2.33. The mean duration of surgery was 168.33 minutes. The mean intraoperative blood loss was 1066.67cc. The average drain volume was 450cc of blood. One patient developed paresthesia and tingling sensation on an anterolateral aspect of thigh which resolved in 3 months with medication.
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Dr. Simarjot Singh Sodhi
MBBS, MS (Orthopaedcs), DNB (Orthopaedics), Senior Resident, Vardhman Mahavir Medical college and Safdarjung Hospital, New Delhi - 110029, India.
Dr. Rajesh Kumar Chopra
MBBS, MS Orthopaedics, Director Professor and Unit head, Central Institute of Orthopaedics, Safdarjung Hospital, New Delhi-110029, India.
Dr Pritam Samanta
MBBS, MS Orthopaedics, Senior Resident, Sports Injury Centre, Vardhman Mahavir Medical college and Safdarjung Hospital, New Delhi - 110029, India.
Dr Surya Vijay Singh
MBBS, MS Orthopaedics, Assistant Professor, Department of Orthopaedics, Rama Medical College Hospital and Research Centre, Hapur, Uttar Pradesh , 245101, India.
Dr. Gyanendra Puri
MBBS, MS Orthopaedics, Senior Resident, Sanjay Gandhi Memorial Hospital, New Delhi - 110029, India.
Dr Mansha Madan
MBBS, MD Anaesthesiology, DNB Anaesthesia, Fellowship in Pain and Palliative Medicine, Senior Resident, Vardhman Mahavir Medical college and Safdarjung Hospital, New Delhi - 110029, India.