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Re: Профилактика гетеротопической оссификации
Nikolaj Wolfson 28 Июль 2004, 17:45
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Privet Evgueny:
1. Brooker classification( 1973), published: JBJS: Ectopic ossification following total hip replacement. Incidence and method of classification. J Bone and Joint Surg. 55: 1629,
1973
Classification is based on reduction of periarticular space by HO.
Grade 1: islands of bone within soft tissue about the hip
Grade 2: bone spurs from the pelvis or proximal femur leaving at least 1 cm between opposing bone surfaces.
Grade 3: same as 3 but space is less than 1 cm
Grade 4 :bony ankylosis of the hip
I had some HO in my hips in the past. It seems that a good saline lavage( irrigation) the
best prophylaxis for HO.
PH of the tissues, timing of ambulation, in my opinion, are among the factors plying important role in HO formation.
In any event, nice to hear from you.
Nikolaj Wolfson
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