Postoperative single-fraction radiation for prevention of heterotopic ossification of the elbow

International Journal of Radiation Oncology, Biology, Physics
Clifford G RobinsonJohn H Suh

Abstract

Heterotopic ossification (HO) about the elbow has been described after surgery, trauma, and burns. Even limited deposits can lead to significant functional deficits. Little data exist regarding outcomes of patients treated with radiation therapy (RT) after elbow surgery. We report here the Cleveland Clinic experience with single-fraction radiation following surgery to the elbow. The primary endpoint was the rate of new HO after RT. Secondary endpoints were range of motion, functional compromise, and toxicity. From May 1993 to July 2006, 36 patients underwent elbow surgery followed by single-fraction RT. Range of motion data were collected before and during surgery and at last follow-up. Radiographs were reviewed for persistent or new HO. Patient and treatment factors were analyzed for correlation with development of HO or functional compromise. Median follow-up was 8.7 months, median age was 42 years, and 75% of patients were male. Twenty-six (72%) patients had HO prior to surgery. All patients had significant limitations in flexion/extension or pronation/supination at baseline. Thirty-one (86%) patients had prior elbow trauma, and 26 (72%) patients had prior surgery. RT was administered a median of 1 day postoperatively (range...Continue Reading

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Citations

Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Soo-Hong HanJun-Ku Lee
Nov 12, 2013·The Journal of Hand Surgery·Nathan G EverdingPeter J Evans
Oct 22, 2013·Journal of Shoulder and Elbow Surgery·Avraam PloumisTheodoros Xenakis
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Sep 11, 2017·Clinics in Plastic Surgery·Shailesh AgarwalBenjamin Levi
Oct 29, 2021·Journal of Experimental Orthopaedics·Joaquin Sanchez-Sotelo

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