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Re: For Susie

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Thanks Edith! I'll sure be showing it to him! Susie

> Hi,

>

>

>

> I came across this today..............

>

> Ref........C:\Documents and Settings\Administrator\Desktop\The

Journal of

> Bone and Joint Surgery - British Volume The Journal.htm

>

>

>

> You may like to refer it to hubby dear..............smile. The

samples are

> small but I liked my BHR even more after reading it..........

>

>

>

> Edith LBHR Dr. L Walter Syd Aust 8/02

>

>

>

>

>

> HETEROTOPIC OSSIFICATION: A PROSPECTIVE COMPARISON BETWEEN HIP

RESURFACING

> AND TOTAL HIP REPLACEMENT

> A R Norrish, J Rao, R N Villar

> (Cambridge Hip & Knee Unit, BUPA Cambridge Lea Hospital, 30 New

Road,

> Impington)

> British Hip Society

> Belfast, February 2003; Vol 86 1

>

> Resurfacing arthroplasty of the hip is currently enjoying a

resurgence in

> popularity. There are many reasons why resurfacing may be

indicated, but one

> is that the absence of proximal femoral reaming at surgery may

reduce the

> occurrence of heterotopic ossification (HO) after surgery. The

objective of

> this study was to compare the prevalence of postoperative HO for

patients

> undergoing two different types of hip surgery, resurfacing

arthroplasty or

> total hip replacement. Data were gathered from 43 consecutive

patients

> undergoing metal on metal hip resurfacing (MoM-R) and 37 consecutive

> patients undergoing metal on metal total hip replacement (MoM-THR)

with a

> minimum of six months' follow up. The r classification was

used to

> grade HO from postoperative radiographs1. We found that, when

undergoing

> MoM-R, women had a lower chance of developing HO than men (p=0.04).

In

> addition, women who received a MoM-R had a reduced incidence of

developing

> HO than women who received a MoM-THR (p=0.04). There were no

differences in

> the incidence of postoperative HO between men undergoing either MoM-

R or

> MoM-THR. It can be concluded from this study that resurfacing does

reduce

> the incidence of HO in women and that care must be taken when

selecting

> women to undergo total hip replacement in preference to hip

resurfacing.

> This study has highlighted the need to inform patients of HO as a

common

> complication when consenting for hip arthroplasty, and has

established an

> 18% rate of postoperative HO for hip resurfacing arthroplasty.

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