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Heterotopic ossification of varying severity can be caused by surgery or trauma to the hips and legs. About every third patient who has total hip arthroplasty (joint replacement) or a severe fracture of the long bones of the lower leg will develop heterotopic ossification, but is uncommonly symptomatic.
Zones of a hip prosthesis, by the DeLee and Charnley system, [1] and the Gruen system. [2] After hip replacement, hip prosthesis zones are regions in the interface between prosthesis material and the surrounding bone. These are used as reference regions when describing for example complications including hip prosthesis loosening on medical imaging.
Ultrasound-guided hip joint injection is a joint injection in the hip, assisted by medical ultrasound. Hip and groin pain often presents a diagnostic and therapeutic challenge. The differential diagnosis is extensive, comprising intra-articular and extra-articular pathology and referred pain from lumbar spine, knee and elsewhere in the pelvis.
The surgery is quick (typically lasting between 30 and 90 minutes), minimally invasive, and can have a significantly shorter recovery time than an arthroplasty (knee replacement). Chronic articular cartilage defects do not heal spontaneously. [1]
As well as the standard total knee replacement surgery, the unicompartmental knee replacement, in which only one weight-bearing surface of an arthritic knee is replaced, may be performed, [25] but it bears a significant risk of revision surgery. [26] Joint replacements are used for other joints, most commonly the hip [27] or shoulder. [28]
Hip-knee-ankle angle (HKA), [11] which is an angle between the femoral mechanical axis and the center of the ankle joint. [12] It is normally between 1.0° and 1.5° of varus in adults. [13] The patient is to perform range-of-motion exercises, and hip, knee and ankle strengthening as directed daily.
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