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JYMS : Journal of Yeungnam Medical Science

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Seung Min Son 1 Article
Preoperative arterial embolization of heterotopic ossification around the hip joint
Jin Hyeok Kim, Chankue Park, Seung Min Son, Won Chul Shin, Joo Yeon Jang, Hee Seok Jeong, In Sook Lee, Tae Young Moon
Yeungnam Univ J Med. 2018;35(1):130-134.   Published online June 30, 2018
DOI: https://doi.org/10.12701/yujm.2018.35.1.130
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AbstractAbstract PDF
Heterotopic ossification (HO) around the hip joint is not uncommon following neurological injury. Often, surgical treatment is performed in patients with restricted motion and/or refractory pain due to grade III or IV HO according to Brooker classification. The major complication that occurs as a result of surgical HO removal is perioperative bleeding due to hyper-vascularization of the lesion. Here, we report a case of preoperative embolization in a 51-year-old male patient presenting with restricted bilateral hip range of motion (ROM) due to HO following a spinal cord injury. In the right hip without preoperative arterial embolization, massive bleeding occurred during surgical removal of HO. Thus, the patient received a transfusion postoperatively due to decreased serum hemoglobin levels. For surgery of the left hip, preoperative embolization of the arteries supplying HO was performed. Surgical treatment was completed without bleeding complications, and the patient recovered without a postoperative transfusion. This case highlights that, while completing surgical removal for ROM improvements, orthopedic surgeons should consider preoperative arterial embolization in patients with hip HO.

Citations

Citations to this article as recorded by  
  • Embolization followed by resection of the heterotopic hip joint ossification with spinal cord injury
    Takahiro Igei, Satoshi Nakasone, Masato Ishihara, Masamichi Onaga, Kotaro Nishida
    Journal of Orthopaedic Science.2024; 29(1): 454.     CrossRef
  • Preoperative Arterial Embolization for Heterotopic Ossification of the Hip
    Nicolas Papalexis, Giuliano Peta, Costantino Errani, Marco Miceli, Giancarlo Facchini
    Journal of Vascular and Interventional Radiology.2023; 34(4): 608.     CrossRef
  • Neurogenic heterotopic ossification: A review. Part 2
    Vladimir A. Novikov, Alina M. Khodorovskaya, Valery V. Umnov, Evgenii V. Melchenko, Dmitry V. Umnov
    Pediatric Traumatology, Orthopaedics and Reconstructive Surgery.2023; 11(4): 557.     CrossRef
  • ENDOVASCULAR TREATMENT BEFORE OPERATIONS IN CLINIC OF TRAUMATOLOGY AND ORTHOPAEDICS
    S. Prozorov, P. Ivanov, N. Zadneprovsky
    Vrach.2023; : 21.     CrossRef

JYMS : Journal of Yeungnam Medical Science