Description
In this transcript, Kenneth Faber discusses heterotopic ossification (HO) in the context of orthopedic injuries, particularly focusing on the elbow joint. He highlights key genetic factors, such as the HLA B27 gene, as well as common predisposing conditions like brain injuries and elbow fractures. Faber explains the classification of HO into three types based on function and severity: type 1 (no functional problems), type 2 (functional limitations), and type 3 (ankylosis).
Throughout his presentation, he shares case studies to illustrate various scenarios involving HO, including surgical approaches to excise heterotopic bone, and addresses postoperative outcomes such as motion recovery. He emphasizes the importance of appropriate surgical techniques to avoid additional complications, including nerve injuries. Faber also discusses treatment and prevention strategies for HO, including the use of NSAIDs, bisphosphonates, and radiotherapy, particularly following trauma. He concludes by summarizing the importance of nerve transposition in cases with limited range of motion and advocating for effective postoperative management to prevent recurrence of heterotopic bone formation.