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Möglichkeiten zur Verhinderung ektoper Ossifikationen bei totalendoprothetischem Hüftgelenkersatz

  • W. Koch
  • B. Verhestraeten
  • H. Meßler
  • K. J. Münzenberg
Conference paper

Zusammenfassung

Zur Verhinderung periartikulärer Ossifikationen bei 15 Risikopatienten erfolgte die postoperative Kombinationstherapie in Form der Bestrahlung, der Gabe von Magnesium, Tetracyclin, Biphosphonat und Indometacin. Nur die muskelstarken männlichen Patienten mit kräftigem Knochenbau (7 Fälle) zeigten eine leichte Verknöcherung Grad I nach Arcq., sämtliche anderen Fälle (TEP bei M. Forestier — 1 Fall -, M. Bechterew — 1 Fall -, Entfernung ektoper Ossifikationen nach TEP — 3 Fälle — sowie geplanter TEP bei bereits eingetretener massiver Ossifikation nach TEP der kontralateralen Seite — 3 Fälle -) zeigten keine Verknöcherungen.

Summary

A prospective study was done to evaluate the efficacy of a combined medical treatment with 20 Gy of radiation, Magnesium, Tetracycline, Indomethacin and Biphosphonate in the prevention of heterotopic ossification after total hip arthroplasty in 15 patients who were at high risk. In the present study it is demonstrated that radiation initiated within 2 days after total hip arthroplasty combined with medical treatment is highly effective in the prevention of heterotopic ossification and in the prevention of recurrence after resection of existing ossification.

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Copyright information

© Springer-Verlag · Heidelberg 1989

Authors and Affiliations

  • W. Koch
    • 1
  • B. Verhestraeten
    • 1
  • H. Meßler
    • 1
  • K. J. Münzenberg
    • 1
  1. 1.Orthopädische UniversitätsklinikBonn-VenusbergGermany

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