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Review Question - QID 6045

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QID 6045 (Type "6045" in App Search)
A 62-year-old patient is seen for routine follow-up after undergoing cementless total hip arthroplasty 2 years ago. The patient reports limited range of motion that severely affects daily activities. A radiograph is shown in Figure 51. Management should now consist of
  • A

observation only.

1%

7/674

nonsteroidal anti-inflammatory drugs and protected weight bearing.

1%

10/674

irradiation to the affected area.

2%

11/674

surgical excision.

11%

76/674

surgical excision and postoperative irradiation.

83%

562/674

  • A

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The patient has symptomatic postoperative heterotopic ossification after total hip arthroplasty. Postoperative prophylactic treatments include nonsteroidal anti-inflammatory drugs (usually indomethacin) or low-dose irradiation. The heterotopic ossification shown here is quite mature; therefore, nonsurgical management will not be successful. Surgical excision of grade III or IV heterotopic ossification should be followed with postoperative irradiation to minimize the chances of recurrence.

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