Abstract
Significant periarticular heterotopic ossification (HO) may occur following traumatic brain injury (TBI). This can result in profound functional loss of motion, disability, and pain. Thirty-three consecutive cases of surgical resection of heterotopic bone were retrospectively reviewed. Twenty-four cases (11 hips, 10 elbows, 3 knees) were suitable for study. Clinical results demonstrated dramatic improvement in motion in all patients. Functional goals were achieved in 83.3% of patients and ambulatory level advancement occurred in 75% of suitable candidates. Subjective satisfaction with functional outcome was 91.3%. The overall radiographic recurrence rate was 23.8%, but only one (4.8%) was considered functionally significant. In summary, surgical excision of periarticular HO following TBI results in a significant improvement in functional range of motion, quality of life, independence, and social integration.
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