Radiothérapie externe ou anti-inflammatoire non-stéroïdien pour la prévention des ossifications hétérotopiques après prothèse totale de hanche?

External radiotherapy or non-steroid antiinflammatory
drugs for prevention of
heterotopic ossification following total
hip replacement
Heterotopic ossification (HO) is defined as
the development of abnormal ossification in
soft tissues. HO is a common disease after
total hip replacement. Many therapeutic modalities
have been proposed to prevent HO.
The most commonly used modalities are nonsteroidal
anti-inflammatory drugs (NSAID) or
ionizing radiation administered just before or
immediately after total hip replacement. As far
as external radiation therapy is concerned,
there are several published randomized studies
aimed at investigating its efficacy and timing
related to surgery, and at comparing ionizing
irradiation to NSAID. In this article we review
the published data in order to define guidelines
which could be used in daily practice for the
choice of prophylactic treatment against HO.