Recurrence of heterotopic ossification after removal in patients with traumatic brain injury: A systematic review / Waleed Almangour in Annals of physical and rehabilitation medicine, Vol. 59, n° 4 (September 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 263-269 Titre : Recurrence of heterotopic ossification after removal in patients with traumatic brain injury: A systematic review Type de document : texte imprimé Auteurs : Waleed Almangour, Auteur ; Alexis Schnitzler, Auteur ; Marjorie Salga, Auteur Année de publication : 2016 Article en page(s) : p. 263-269 Langues : Anglais (eng) Français (fre) Mots-clés : Traumatisme crânien  Revue de littérature  Traumatic brain injury,Head injury,Heterotopic ossification,Recurrence Résumé : Objective: A systematic review of the literature to determine whether in patients with neurological heterotopic ossification (NHO) after traumatic brain injury, the extent of the neurological sequelae, the timing of surgery and the extent of the initial NHO affect the risk of NHO recurrence. Data sources: We searched MEDLINE via PubMed and Cochrane library for articles published up to June 2015. Results were compared with epidemiological studies using data from the BANKHO database of 357 patients with central nervous system (CNS) lesions who underwent 539 interventions for troublesome HO. Results: A large number of studies were published in the 1980s and 1990s, most showing poor quality despite being performed by experienced surgical teams. Accordingly, results were contradictory and practices heterogeneous. Results with the BANKHO data showed troublesome NHO recurrence not associated with aetiology, sex, age at time of CNS lesion, multisite HO, or “early” surgery (before 6months). Equally, recurrence was not associated with neurological sequelae or disease extent around the joint. Conclusions: The recurrence of NHO is not affected by delayed surgery, neurological sequelae or disease extent around the joint. Surgical excision of NHO should be performed as soon as comorbid factors are under control and the NHO is sufficiently constituted for excision. Permalink : ./index.php?lvl=notice_display&id=45220 [article] Recurrence of heterotopic ossification after removal in patients with traumatic brain injury: A systematic review [texte imprimé] / Waleed Almangour, Auteur ; Alexis Schnitzler, Auteur ; Marjorie Salga, Auteur . - 2016 . - p. 263-269. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 263-269 Mots-clés : Traumatisme crânien  Revue de littérature  Traumatic brain injury,Head injury,Heterotopic ossification,Recurrence Résumé : Objective: A systematic review of the literature to determine whether in patients with neurological heterotopic ossification (NHO) after traumatic brain injury, the extent of the neurological sequelae, the timing of surgery and the extent of the initial NHO affect the risk of NHO recurrence. Data sources: We searched MEDLINE via PubMed and Cochrane library for articles published up to June 2015. Results were compared with epidemiological studies using data from the BANKHO database of 357 patients with central nervous system (CNS) lesions who underwent 539 interventions for troublesome HO. Results: A large number of studies were published in the 1980s and 1990s, most showing poor quality despite being performed by experienced surgical teams. Accordingly, results were contradictory and practices heterogeneous. Results with the BANKHO data showed troublesome NHO recurrence not associated with aetiology, sex, age at time of CNS lesion, multisite HO, or “early” surgery (before 6months). Equally, recurrence was not associated with neurological sequelae or disease extent around the joint. Conclusions: The recurrence of NHO is not affected by delayed surgery, neurological sequelae or disease extent around the joint. Surgical excision of NHO should be performed as soon as comorbid factors are under control and the NHO is sufficiently constituted for excision. Permalink : ./index.php?lvl=notice_display&id=45220

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