Navigation-assisted Excision of Heterotopic Ossification in Bilateral Hips of a Paraplegic Patient: A Case Report with Technical Note
Aim and background: Heterotopic ossification (HO), which is common among patients with neurological disorders or chronic bedridden individuals, is a major concern for mobility and rehabilitation. Here, we have discussed a novel technique in the surgical management of HO in a 27-year-old posttraumati...
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2024-06-01
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| Series: | Journal of Orthopedics and Joint Surgery |
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| Online Access: | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1159 |
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| author | Mirunaalini Thangavelan Keerthivasan Panneerselvam Sathish Venugopal Aravindan Selvaraj Mukunth Krishnamoorthy Vikraman Arunachalam |
| author_facet | Mirunaalini Thangavelan Keerthivasan Panneerselvam Sathish Venugopal Aravindan Selvaraj Mukunth Krishnamoorthy Vikraman Arunachalam |
| author_sort | Mirunaalini Thangavelan |
| collection | DOAJ |
| description | Aim and background: Heterotopic ossification (HO), which is common among patients with neurological disorders or chronic bedridden individuals, is a major concern for mobility and rehabilitation. Here, we have discussed a novel technique in the surgical management of HO in a 27-year-old posttraumatic paraplegic patient.
Case description: This is the very first case to our knowledge in which excision of HO in bilateral hips was performed with navigation assistance, after which the patient regained full range of joint movement and intensive physiotherapy was possible.
Conclusion: Excision of HO in this paraplegic patient with bilateral hip ankylosis and knee stiffness and challenges imposed due to preexisting conditions were surpassed with navigation assistance. Three-dimensional (3D) navigation guidance in HO resection may aid in overcoming the surgical challenges and optimizing the final outcome.
Clinical significance: Surgical excision in extensive HO lesions can be a prompt decision for patients, especially in terms of better rehabilitation and prevention of complications. In addition to meticulous preoperative planning, technical guidance with navigation assistance during surgery may serve as a viable option. |
| format | Article |
| id | doaj-art-9ed55b97328f4e03b90f7f37d30c5bf5 |
| institution | Kabale University |
| issn | 2582-7863 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Orthopedics and Joint Surgery |
| spelling | doaj-art-9ed55b97328f4e03b90f7f37d30c5bf52025-02-07T11:18:36ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632024-06-016219720110.5005/jojs-10079-115924Navigation-assisted Excision of Heterotopic Ossification in Bilateral Hips of a Paraplegic Patient: A Case Report with Technical NoteMirunaalini Thangavelan0https://orcid.org/0009-0007-9941-9213Keerthivasan Panneerselvam1https://orcid.org/0000-0002-5762-2631Sathish Venugopal2https://orcid.org/0000-0002-6764-1908Aravindan Selvaraj3https://orcid.org/0009-0007-3362-4476Mukunth Krishnamoorthy4https://orcid.org/0009-0006-6215-6168Vikraman Arunachalam5https://orcid.org/0009-0005-1054-7645Department of Orthopaedics, Kauvery Hospital, Chennai, Tamil Nadu, IndiaDepartment of Orthopaedics; Department of Spine Surgery, Kauvery Hospital, Chennai, Tamil Nadu, India, Phone: +91 9500102299Department of Spine Surgery, Kauvery Hospital, Chennai, Tamil Nadu, IndiaDepartment of Orthopaedics, Kauvery Hospital, Chennai, Tamil Nadu, IndiaDepartment of Orthopaedics, Kauvery Hospital, Chennai, Tamil Nadu, IndiaDepartment of Orthopaedics, Kauvery Hospital, Chennai, Tamil Nadu, IndiaAim and background: Heterotopic ossification (HO), which is common among patients with neurological disorders or chronic bedridden individuals, is a major concern for mobility and rehabilitation. Here, we have discussed a novel technique in the surgical management of HO in a 27-year-old posttraumatic paraplegic patient. Case description: This is the very first case to our knowledge in which excision of HO in bilateral hips was performed with navigation assistance, after which the patient regained full range of joint movement and intensive physiotherapy was possible. Conclusion: Excision of HO in this paraplegic patient with bilateral hip ankylosis and knee stiffness and challenges imposed due to preexisting conditions were surpassed with navigation assistance. Three-dimensional (3D) navigation guidance in HO resection may aid in overcoming the surgical challenges and optimizing the final outcome. Clinical significance: Surgical excision in extensive HO lesions can be a prompt decision for patients, especially in terms of better rehabilitation and prevention of complications. In addition to meticulous preoperative planning, technical guidance with navigation assistance during surgery may serve as a viable option.https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1159ankylosiscase reportcomputer navigationheterotopic ossificationhip heterotopic ossificationmyositis ossificansnavigation-assisted excisionparaplegic patientsurgical excision |
| spellingShingle | Mirunaalini Thangavelan Keerthivasan Panneerselvam Sathish Venugopal Aravindan Selvaraj Mukunth Krishnamoorthy Vikraman Arunachalam Navigation-assisted Excision of Heterotopic Ossification in Bilateral Hips of a Paraplegic Patient: A Case Report with Technical Note Journal of Orthopedics and Joint Surgery ankylosis case report computer navigation heterotopic ossification hip heterotopic ossification myositis ossificans navigation-assisted excision paraplegic patient surgical excision |
| title | Navigation-assisted Excision of Heterotopic Ossification in Bilateral Hips of a Paraplegic Patient: A Case Report with Technical Note |
| title_full | Navigation-assisted Excision of Heterotopic Ossification in Bilateral Hips of a Paraplegic Patient: A Case Report with Technical Note |
| title_fullStr | Navigation-assisted Excision of Heterotopic Ossification in Bilateral Hips of a Paraplegic Patient: A Case Report with Technical Note |
| title_full_unstemmed | Navigation-assisted Excision of Heterotopic Ossification in Bilateral Hips of a Paraplegic Patient: A Case Report with Technical Note |
| title_short | Navigation-assisted Excision of Heterotopic Ossification in Bilateral Hips of a Paraplegic Patient: A Case Report with Technical Note |
| title_sort | navigation assisted excision of heterotopic ossification in bilateral hips of a paraplegic patient a case report with technical note |
| topic | ankylosis case report computer navigation heterotopic ossification hip heterotopic ossification myositis ossificans navigation-assisted excision paraplegic patient surgical excision |
| url | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1159 |
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