the time point in surgical excision of heterotopic ossification of post-traumatic stiff elbow recommendation for early excision followed by early exercise：创伤后僵硬肘关节异位骨化的手术时机及早期切除术.pdfVIP

J Shoulder Elbow Surg (2015) 24, 1165-1171 /locate/ymse ELBOW The time point in surgical excision of heterotopic ossification of post-traumatic stiff elbow: recommendation for early excision followed by early exercise a a b a Shuai Chen, MD , Shi-yang Yu, MD , Hede Yan, MD , Jiang-yu Cai, MD , a a a, Yuanming Ouyang, MD , Hong-jiang Ruan, MD , Cun-yi Fan, MD, PhD * aDepartment of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China bDivision of Plastic and Hand Surgery, Department of Orthopaedics, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China Background: Post-traumatic heterotopic ossification (HO) around the elbow may severely impair joint func- tion. Although surgical excision is effective at restoring range of motion (ROM), traditional surgical treatment is postponed for at least 1 year to prevent recurrence, which leads to secondary contracture of the elbow. Because the optimal timing of resection is controversial, our study was performed to compare recurrence and elbow function between early and late excision in our patients to determine whether the delay is necessary. Methods: We retrospectively reviewed 164 patients during a 4-year period. In the control group (112 pa- tients), HO was excised at an average of 23.0 months after initial injury (range, 9-204 months); in the early excision group (52 patients), resection was performed at an average of 6.1 months (range, 3-8 months). HO recurrence was assessed by the Hastings classification system. Final ROM an