Retrospective cohort of 237 operatively treated acetabular fractures analyzing which patient and surgical factors independently predict development of moderate-to-severe heterotopic ossification (HO) at one year, and whether surgical excision effectively restores motion in those with severe restriction.
When planning acetabular fixation requiring an extended iliofemoral approach — especially for T-type fractures or polytrauma patients with chest/abdominal injuries. Recognize that HO risk is substantially elevated and consider perioperative prophylaxis (low-dose radiation or NSAIDs).
If Grade 1 HO develops and causes ≥20% motion loss, excision at one year or later is supported by this data and reliably restores function.
Retrospective cohort of 237 operatively treated acetabular fractures analyzing which patient and surgical factors independently predict development of moderate-to-severe heterotopic ossification (HO) at one year, and whether surgical excision effectively restores motion in those with severe restriction.
When planning acetabular fixation requiring an extended iliofemoral approach — especially for T-type fractures or polytrauma patients with chest/abdominal injuries. Recognize that HO risk is substantially elevated and consider perioperative prophylaxis (low-dose radiation or NSAIDs).
If Grade 1 HO develops and causes ≥20% motion loss, excision at one year or later is supported by this data and reliably restores function.