Early surgery in rare knee heterotopic ossification leads to successful functional outcome: a case report
Background: Heterotopic ossification is a common complication after joint replacement surgery, such as hip or knee arthroplasty. In the intensive care unit, it is most commonly associated with traumatic brain injury or spinal cord injury. To prevent recurrence, surgical resection of heterotopic ossi...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2025-01-01
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| Series: | Journal of Rehabilitation Medicine - Clinical Communications |
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| Online Access: | https://medicaljournalssweden.se/jrm-cc/article/view/41323 |
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| author | Stijn Pierreux Samar M. Hatem Stijn Roggeman Marc Schiltz |
| author_facet | Stijn Pierreux Samar M. Hatem Stijn Roggeman Marc Schiltz |
| author_sort | Stijn Pierreux |
| collection | DOAJ |
| description | Background: Heterotopic ossification is a common complication after joint replacement surgery, such as hip or knee arthroplasty. In the intensive care unit, it is most commonly associated with traumatic brain injury or spinal cord injury. To prevent recurrence, surgical resection of heterotopic ossification is recommended once the ectopic bone has fully matured, which is estimated to occur after at least 12 months.
Case presentation: This case describes a young woman with no relevant previous medical history who developed severe bilateral heterotopic ossification on the anteromedial sides of her knees after an intensive care unit stay. Passive flexion of both knees was limited to 50°. X-ray was a simple diagnostic tool. Predisposing factors were extended immobilization, prolonged systematic inflammatory condition and mechanical ventilation. Due to the failure of initial conservative therapy, the heterotopic ossification was resected early, 4 months after onset of first symptoms. Following an intensive rehabilitation program, a normal, pain-free gait and full range of motion of both knees were achieved 9 months after surgery.
Conclusion: This case report demonstrates that early resection of heterotopic ossification can result in a good clinical and functional outcome.
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| format | Article |
| id | doaj-art-0bd9f6c9bdf04d96a4be3d2b70a88b8a |
| institution | Kabale University |
| issn | 2003-0711 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine - Clinical Communications |
| spelling | doaj-art-0bd9f6c9bdf04d96a4be3d2b70a88b8a2025-01-03T10:16:31ZengMedical Journals SwedenJournal of Rehabilitation Medicine - Clinical Communications2003-07112025-01-01810.2340/jrm-cc.v8.41323Early surgery in rare knee heterotopic ossification leads to successful functional outcome: a case reportStijn Pierreux0Samar M. Hatem1Stijn Roggeman2Marc Schiltz3Department of Physical and Rehabilitation Medicine, Universitair Ziekenhuis Brussel, Brussels, BelgiumDepartment of Physical and Rehabilitation Medicine, Universitair Ziekenhuis Brussel, Brussels, Belgium; Stimulus Research Group, Vrije Universiteit Brussel, Brussels, Belgium; Cluster Neurosciences, Center for Neurosciences (C4N), Vrije Universiteit Brussel, Brussels, Belgium; Department ofPhysical and Rehabilitation Medicine, Faculty of Medicine and pharmacy, Vrije Universiteit Brussel, Brussels, BelgiumDepartment of Physical and Rehabilitation Medicine, Universitair Ziekenhuis Brussel, Brussels, BelgiumDepartment of Physical and Rehabilitation Medicine, Universitair Ziekenhuis Brussel, Brussels, Belgium; Stimulus Research Group, Vrije Universiteit Brussel, Brussels, Belgium; Cluster Neurosciences, Center for Neurosciences (C4N), Vrije Universiteit Brussel, Brussels, Belgium; Department ofPhysical and Rehabilitation Medicine, Faculty of Medicine and pharmacy, Vrije Universiteit Brussel, Brussels, BelgiumBackground: Heterotopic ossification is a common complication after joint replacement surgery, such as hip or knee arthroplasty. In the intensive care unit, it is most commonly associated with traumatic brain injury or spinal cord injury. To prevent recurrence, surgical resection of heterotopic ossification is recommended once the ectopic bone has fully matured, which is estimated to occur after at least 12 months. Case presentation: This case describes a young woman with no relevant previous medical history who developed severe bilateral heterotopic ossification on the anteromedial sides of her knees after an intensive care unit stay. Passive flexion of both knees was limited to 50°. X-ray was a simple diagnostic tool. Predisposing factors were extended immobilization, prolonged systematic inflammatory condition and mechanical ventilation. Due to the failure of initial conservative therapy, the heterotopic ossification was resected early, 4 months after onset of first symptoms. Following an intensive rehabilitation program, a normal, pain-free gait and full range of motion of both knees were achieved 9 months after surgery. Conclusion: This case report demonstrates that early resection of heterotopic ossification can result in a good clinical and functional outcome. https://medicaljournalssweden.se/jrm-cc/article/view/41323early surgeryfunctional outcomeheterotopic ossificationkneerehabilitation |
| spellingShingle | Stijn Pierreux Samar M. Hatem Stijn Roggeman Marc Schiltz Early surgery in rare knee heterotopic ossification leads to successful functional outcome: a case report Journal of Rehabilitation Medicine - Clinical Communications early surgery functional outcome heterotopic ossification knee rehabilitation |
| title | Early surgery in rare knee heterotopic ossification leads to successful functional outcome: a case report |
| title_full | Early surgery in rare knee heterotopic ossification leads to successful functional outcome: a case report |
| title_fullStr | Early surgery in rare knee heterotopic ossification leads to successful functional outcome: a case report |
| title_full_unstemmed | Early surgery in rare knee heterotopic ossification leads to successful functional outcome: a case report |
| title_short | Early surgery in rare knee heterotopic ossification leads to successful functional outcome: a case report |
| title_sort | early surgery in rare knee heterotopic ossification leads to successful functional outcome a case report |
| topic | early surgery functional outcome heterotopic ossification knee rehabilitation |
| url | https://medicaljournalssweden.se/jrm-cc/article/view/41323 |
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