Abstract | PURPOSE: We evaluate the incidence of heterotopic ossification (HO) development with nonsteroidal anti-inflammatory drug ( NSAID) prophylaxis in patients after open and arthroscopic hip preservation surgery. METHODS: A retrospective review identified patients who underwent hip preservation surgery at a single institution within the past 3 years. Patients who underwent hip arthroscopy with or without periacetabular osteotomy (PAO) or femoral osteotomy (FO) were included. Those who did not receive 3-month postoperative radiographs were excluded. The incidence and Brooker classification (BC) of HO in patients taking Naproxen or another NSAID ( meloxicam, celecoxib, indomethacin, or aspirin alone) was assessed using AP radiographs available from 3-, 6-, and 12-month follow-up appointments. Univariate analysis was conducted to compare numerical means and categorical data (significance level P = .05). RESULTS: A total of 328 hips (284 patients) were included. All patients received hip arthroscopy, while 71 patients (21.6%) received concurrent periacetabular osteotomy (PAO; n = 65) or femoral osteotomy (FO; n = 6). Overall, 276 hips (84.4%) received Naproxen for HO prophylaxis. In total, 5 of 328 hips (1.5%) developed HO (4, BC I; 1, BC III). The rate of HO development was significantly higher in males versus females (4 of 121 (3.31%) vs 1 of 207 (.48%), P = .0441). All 5 patients received arthroscopic cam resection and labral repair, and 1 patient also received PAO. Three patients in the Naproxen group (.91%) developed HO, which was not statistically different from those taking a different NSAID (.61%, P = .1797). CONCLUSION: The incidence of HO development was low with NSAID prophylaxis after hip preservation surgery.
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Authors | Andrew L Schaver, Michael C Willey, Robert W Westermann |
Journal | Arthroscopy, sports medicine, and rehabilitation
(Arthrosc Sports Med Rehabil)
Vol. 3
Issue 5
Pg. e1309-e1314
(Oct 2021)
ISSN: 2666-061X [Electronic] United States |
PMID | 34712968
(Publication Type: Journal Article)
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Copyright | © 2021 Published by Elsevier on behalf of the Arthroscopy Association of North America. |