Winkler, Sebastian and Springorum, Hans-Robert and Vaitl, Tobias and Handel, Martin and Barta, Sabine and Kehl, Victoria and Craiovan, Benjamin and Grifka, Joachim (2016) Comparative clinical study of the prophylaxis of heterotopic ossifications after total hip arthroplasty using etoricoxib or diclofenac. INTERNATIONAL ORTHOPAEDICS, 40 (4). pp. 673-680. ISSN 0341-2695, 1432-5195
Full text not available from this repository. (Request a copy)Abstract
This study investigated whether etoricoxib (COX-II blocker) has a superior efficacy of preventing heterotopic ossification (HO) after total hip arthroplasty (THA) compared to diclofenac (non-selective NSAID). One hundred patients were included (50 in each group) in this single centre, prospective, double-blinded, randomized, controlled trial. Etoricoxib (90 mg) was administered once and diclofenac (75 mg) twice per day for a perioperative period of nine days. The incidence of HO was evaluated on radiographs of the pelvis six months after surgery. Eighty nine of 100 (89 %) patients could be analysed. The overall HO incidence was 37.8 %. There was no significant difference between both study groups. Twelve patients (27.3 %) of the DIC group and 13 patients (28.9 %) of the ETO group showed Brooker grade I ossifications. Five patients (11.4 %) of the DIC and four patients of the ETO (8.9 %) group showed grade II HO formations. No class III or IV HO formations occured in both groups. Ad hoc analysis detected a negative correlation between HO incidence and limited abduction and internal rotation of the hip. Etoricoxib and diclofenac are equally effective for oral HO prophylaxis after primary cementless THA when given for nine peri-operative days to ensure a full recovery and high patient satisfaction.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | NONSTEROIDAL ANTIINFLAMMATORY DRUGS; BONE-FORMATION; RANDOMIZED-TRIAL; RISK-FACTORS; PREVENTION; SURGERY; INDOMETHACIN; REPLACEMENT; ARTHRITIS; EVENTS; Diclofenac; Etoricoxib; Heterotopic ossification; Prophylaxis; Total hip arthroplasty |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 03 Apr 2019 09:33 |
| Last Modified: | 03 Apr 2019 09:33 |
| URI: | https://pred.uni-regensburg.de/id/eprint/3186 |
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