Hip Ankylosis Caused by Heterotopic Ossification: A Case Report

Keywords: Heterotopic ossification, hip, hip replacement, Brooker

Abstract

We present the case of a 59-year-old patient with heterotopic ossification in the right hip. This condition developed as a result of right hemiplegia secondary to a traumatic brain injury sustained in a traffic accident. Subsequently, the patient suffered an intracapsular fracture of the left hip, which required joint replacement surgery. Due to the patient’s neurological limitations and postoperative immobility, Brooker grade IV heterotopic ossification with ankylosis developed in the non-operated hip. Surgical resection of the ossification was necessary, and it was found to be highly vascularized and in close proximity to the pelvic neurovascular bundle. Postoperatively, the patient was treated with radiation therapy and non-steroidal anti-inflammatory drugs. At the one-year follow-up, significant improvements in range of motion and independence were observed, with no signs of recurrence.

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Author Biographies

Ricardo Londoño García, Universidad Pontificia Bolivariana, Medellín, Colombia
Universidad Pontificia Bolivariana, Medellín, Colombia
Víctor Alfonso Avendaño, Universidad Pontificia Bolivariana, Medellín, Colombia
Universidad Pontificia Bolivariana, Medellín, Colombia
Miguel Ángel Cano González, Universidad Pontificia Bolivariana, Medellín, Colombia
Universidad Pontificia Bolivariana, Medellín, Colombia
Juan Pablo Arboleda, University of Antioquia, Medellín, Colombia
University of Antioquia, Medellín, Colombia
José Luis Moore Velásquez, Department of Orthopedics and Traumatology, Hospital Pablo Tobón Uribe, Medellín, Colombia
Department of Orthopedics and Traumatology, Hospital Pablo Tobón Uribe, Medellín, Colombia

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Published
2024-10-17
How to Cite
Londoño García, R., Avendaño, V. A., Cano González, M. Ángel, Arboleda, J. P., & Moore Velásquez, J. L. (2024). Hip Ankylosis Caused by Heterotopic Ossification: A Case Report . Revista De La Asociación Argentina De Ortopedia Y Traumatología, 89(5), 519-527. https://doi.org/10.15417/issn.1852-7434.2024.89.5.1909
Section
Case Presentations

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