Some surgeons just use arcoxia as part of their early pain relief
Radiotherapy: single periop dose of 700cGy = 700 rad
4 hours pre op
or within 72 hours post op
β£
Management of Heterotopic Ossification?
Evaluate for maturity (12- 18 months) by:
Serial XR
ALP (ALP is raised in osteoblastic activity)
Or Bone scan - some authors suggest doing bone scan at onset of HO for baseline and then looking at decreasing trend in blood flow and blood pool activity followed by steady state for two to three months as an indication of disease maturity at which time surgery can be done to improve joint mobility