Article

OBJECTIVES: To report the incidence of symptomatic heterotopic ossification (HO)
in a defined civilian amputee population, describe its characteristics, and
compare these findings to published data in military amputees. DESIGN:
Retrospective chart analysis from July 1998 to July 2009.
SETTING: Ambulatory
amputee clinic within a large university medical center. PARTICIPANTS: Adults
with lower limb amputation (N=158). INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURE: Patients with symptomatic HO confirmed by radiographs. RESULTS: A total
of 261 patients were evaluated; 158 met inclusion criteria, with 59% having
traumatic etiology, 18% vascular etiology, 22% infection, and 1% tumor.
Symptomatic HO was diagnosed in 36 (22.8%) patients, and 94% patients had mild HO
on radiographic scoring. Rate of HO in amputations related to trauma was not
increased compared with those of other etiologies. Surgical resection of the
ectopic bone was required in 4 (11%) patients. CONCLUSIONS: HO is seen commonly
after civilian lower limb amputation regardless of etiology. The prevalence was
less than that observed in previous reports from military populations. This is
the first report estimating the prevalence of HO in adult civilian amputees.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS