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Trauma
intermediate
X-Type

Heterotopic Ossification - Prophylaxis and Management

Soft Tissue Complications

A 45-year-old male sustained an acetabular fracture in a motorcycle accident. He also suffered a severe traumatic brain injury and required prolonged ICU admission. He is now planned for open reduction internal fixation of the acetabulum through a Kocher-Langenbeck approach. The trauma team is discussing heterotopic ossification prophylaxis. Regarding heterotopic ossification (HO):

Mark each as TRUE or FALSE

A

Heterotopic ossification is mature lamellar bone forming in soft tissues where bone does not normall...

B

The Brooker classification grades HO severity around the hip: Grade I (islands of bone in soft tissu...

C

HO prophylaxis should be started 2-3 weeks after surgery once initial bone healing has occurred; ind...

D

Indomethacin 25mg TID for 6 weeks is the standard pharmacological prophylaxis; NSAIDs inhibit prosta...

E

Contraindications to NSAID prophylaxis include renal impairment, GI bleeding history, and concern fo...

Answer the questions to see explanations

Click T (True) or F (False) for each option