Do you provide prophylactic radiotherapy for heterotopic ossification in young patients?

All the patients I have treated have been healthy males in their 20's who were involved in a motor vehicle accident or engaging in high risk sports referred to me by orthopedic trauma surgeons. These patients are notorious for noncompliance and the opportunity to prevent debilitating HO will be duri...

Hi. Great question. I looked the prophylactic HO data at our center here at the East Orange VA in 2012 (37 PTs treated over 2 years) and the youngest patient we irradiated for HO prevention was 45 yrs. But to your question of irradiating some as young as you note, would be very problematic for me.

Fi...

The risk of heterotopic ossification is related to the degree of bone & joint trauma. A simple hip replacement for DJD is at very low risk of developing an HO, and HO prophylaxis is mostly not performed in these patients. However, a posterior acetabular fracture from vehicular trauma with multiple o...

Hi. Appreciate the expanded discussion. But just to clarify my thoughts on the fertility aspect of the discussion the focus should have directly stated the mutagenic potential of ionizing radiation in young patients and the potential for unforeseen genetic inspired disease dangers in future unexpose...