Outcomes comparison between nsaid and placebo in the occurrence of heterotopic ossification after hip surgery: a systematic review

  • Putu Teguh Aryanugraha Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia
  • I Gusti Ngurah Wien Aryana Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia
  • Andrew Sutheno Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia
  • Dominicus Dimitri Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia
  • Frans Lazio Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia

Abstract

Introduction: Heterotropic Ossification (HO) is a devastating condition felt by patients and surgeons. It was caused by inflammatory response triggered by injury through various processes. NSAID is thought to have a capability to limit the process, hence preventing the condition.


Materials and Methods: Various database has been used to search for literatures included in this review. Screening and evaluation were conducted for researches.


Results: Seven studies are included in this review and a table has been formed to show the comparison of HO and Control.


Discussion : This study aimed to assess the occurrence of heterotopic ossification (HO) after hip arthroscopy and compare outcomes between those who received prophylactic nonsteroidal anti-inflammatory drugs (NSAIDs) and those who did not. The hypothesis was that NSAIDs could reduce postoperative HO. The significance of this trend varied in retrospective research due to differences in NSAID regimens. The usefulness of NSAID prophylaxis should be carefully weighed against potential side effects, and patient compliance should be assessed in future research, as it was inconsistently reported in the existing literature.


Conclusion: NSAID lower the rate of postoperative HO, however, more studies need to be conducted to analyze certain efficacy of certain type of HO

Keywords: Heterotropic ossification, ectopic ossification, ossification, myositis ossificans, NSAID, radiotherapy

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Author Biographies

I Gusti Ngurah Wien Aryana, Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia

Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia

Andrew Sutheno, Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia

Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia

Dominicus Dimitri, Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia

Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia

Frans Lazio, Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia

Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia

References

1. Rath E, Sherman H, Sampson TG, Tov T Ben, Maman E, Amar E. The Incidence of Heterotopic Ossi fi cation in Hip Arthroscopy. the journal of arthroscopic and related surgery. 2013;29(3):427-433. doi:10.1016/j.arthro.2012.10.015
2. Bozic KJ, Chan V, Iii FHV, Feeley BT, Vail TP. Trends in Hip Arthroscopy Utilization in the United States. J Arthroplasty. 2013;1:140-143. doi:10.1016/j.arth.2013.02.039
3. Hug KT, Alton TB, Gee AO. Brooker Classification of Heterotopic Ossification After Total Hip Arthroplasty. Clin Orthop Relat Res. Published online 2014. doi:10.1007/s11999-014-4076-x
4. Lavernia CJ, Contreras JS, Villa JM, Rossi MD. Celecoxib and Heterotopic Bone Formation After Total Hip Arthroplasty. Journal of Arthroplasty. 2014;29(2):390-392. doi:10.1016/j.arth.2013.06.039
5. Beckmann JT, Wylie JD, Potter MQ, Maak TG, Greene TH, Aoki SK. Ossification Following Hip Arthroscopy. J Bone Joint Surg. 2015;97:2032-2037.
6. Beckmann JT, Wylie JD, Kapron AL, et al. The American Journal of Sports Medicine The Effect of NSAID Prophylaxis and Operative Variables on Heterotopic Ossification After Hip Arthroscopy. Am J Sports Med. 2014;42(6):1359-1364. doi:10.1177/0363546514526361
7. Randelli F, Pierannunzii L. Heterotopic ossifications after arthroscopic management of femoroacetabular impingement : the role of NSAID prophylaxis. J Orthopaed Traumatol. 2010;11:245-250. doi:10.1007/s10195-010-0121-z
8. Bedi A, Zbeda RM, Bueno VF, et al. The American Journal of Sports Medicine The Incidence of Heterotopic Ossification. Am J Sports Med. 2012;40:854-861. doi:10.1177/0363546511434285
9. Nossa JM, Aguilera B, Marquez W, Aranzazu A, Alzate R, Rueda G, Marquez DJ, Escobar NA AJ. Factors associated with hip arthroscopy complications in the treatment of femoroacetabular impingement ´. Curr Orthop Pract. 2014;57(1):362-366.
10. Ranganathan K, Loder S, Agarwal S, et al. Heterotopic Ossi fi cation : Basic-Science Principles and Clinical Correlates. The Journal of Bone and Joint SurgeryJournal of Bone and Joint Surgery. 2015;97:1101-1111.
11. Yeung M, Jamshidi S, Horner N, et al. Prophylaxis for Heterotrophic Ossi fi cation in Hip Arthroscopy : A Systematic Review. Arthroscopy: The Journal of Arthroscopic and Related Surgery. Published online 2015:1-7. doi:10.1016/j.arthro.2015.08.007
12. Badi H Al, Tanzer M, Nooh A, Hall B, Hart A. A Short Course of Celecoxib Prevents Heterotopic Ossification Following Cementless Total Hip Arthroplasty. Life. 2023;13(4):944. doi:10.3390/life13040944
Published
16-10-2023
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How to Cite
Aryanugraha, P. T., I. G. N. W. Aryana, A. Sutheno, D. Dimitri, and F. Lazio. “Outcomes Comparison Between Nsaid and Placebo in the Occurrence of Heterotopic Ossification After Hip Surgery: A Systematic Review”. World Journal of Current Medical and Pharmaceutical Research, Vol. 5, no. 5, Oct. 2023, pp. 228-31, doi:10.37022/wjcmpr.v5i5.297.
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Review Articles