A CLINICAL CASE OF SURGICAL TREATMENT OF ACQUIRED HETEROTOPIC OSSIFICATION IN A PATIENT WITH POLYTRAUMA
Objective - to review a clinical case of a patient with severe associated injury and subsequent heterotopic ossification of the hip joint. Materials and methods. The study provides a brief review of articles and source materials covering the issue of heterotopic ossification in patients with severe associated injury. The clinical case of the 29-yearold female patient, injured in a motor vehicle accident, with heterotopic ossification of the hip joint as a long-term complication of the severe associated injury has been presented. Results. The patient received the treatment of the severe associated injury with subsequent heterotopic ossification of the hip joint. The surgery was conducted - hip joint replacement. A good functional result with the Harris Hip Score of 86 out of 100 points two years after the treatment has been achieved. Based on the clinical case under review, we demonstrated the efficiency of the present diagnostic methods at different time points of treatment of heterotopic ossification, with aim of minimizing the percentage of radical treatment, decreasing the rates of disability in patients with long term consequences of severe associated injury. Conclusion. The identification of this problem at earlier stage of the pathological process, and estimation of the significance of the process for subsequent rehabilitation therapy and the patient’s quality of life would allow more prompt diagnosis, which, combined with the review of the best practices, may have resulted in an earlier, less invasive surgical treatment, potentially precluding a more radical corrective surgery. We did not manage to identify a sufficient number of clinical case reviews involving heterotopic ossification in patients with severe associated injury, with estimation of appropriate time of surgical intervention. One should give special attention to research of the problem of heterotopic ossification that would possibly allow us to use the mechanisms of pathologic osteogenesis for solution of our tasks, to prevent disability in patients with severe associated injury, despite of complete removal of posttraumatic changes.