Winkler, Sebastian ; Springorum, Hans-Robert ; Vaitl, Tobias ; Handel, Martin ; Barta, Sabine ; Kehl, Victoria ; Craiovan, Benjamin ; Grifka, Joachim
Alternative Links zum Volltext:DOIVerlag
| Dokumentenart: | Artikel |
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| Titel eines Journals oder einer Zeitschrift: | International Orthopaedics |
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| Verlag: | SPRINGER |
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| Ort der Veröffentlichung: | NEW YORK |
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| Band: | 40 |
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| Nummer des Zeitschriftenheftes oder des Kapitels: | 4 |
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| Seitenbereich: | S. 673-680 |
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| Datum: | 2016 |
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| Institutionen: | Medizin > Lehrstuhl für Orthopädie |
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| Identifikationsnummer: | | Wert | Typ |
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| 10.1007/s00264-015-3077-z | DOI |
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| Stichwörter / Keywords: | NONSTEROIDAL ANTIINFLAMMATORY DRUGS; BONE-FORMATION; RANDOMIZED-TRIAL; RISK-FACTORS; PREVENTION; SURGERY; INDOMETHACIN; REPLACEMENT; ARTHRITIS; EVENTS; Diclofenac; Etoricoxib; Heterotopic ossification; Prophylaxis; Total hip arthroplasty |
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| Dewey-Dezimal-Klassifikation: | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin |
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| Status: | Veröffentlicht |
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| Begutachtet: | Ja, diese Version wurde begutachtet |
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| An der Universität Regensburg entstanden: | Ja |
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| Dokumenten-ID: | 42352 |
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Web of Science
Zusammenfassung
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 ...
Zusammenfassung
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.
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