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Radiation Oncology • Non-malignant Disease
What treatment fields do use for heterotopic ossification prophylaxis?
Every physician and institution seems to take a different approach based on factors such as type of replacement and whether or not cement was used. What do you make sure to block? What do you make sure to treat?
Answer from: Radiation Oncologist at Community Practice
This is what I was told at HSS- Bridging ossification between the greater trochanter and pelvic bones locks the leg- this is the most important area to cover. Bridging ossifcation between the lesser trochanter and pelvic bones, I believe, presents a much more minor impairment. You dont have to block...
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Answer from: Radiation Oncologist at Community Practice
In East Orange VA we still treat a fair number of HO types pre-operatively at 700cGy each with photons. As to what to treat, we treat to include the soft tissue areas of the anterior inferior illiac spine and the greater trochanter. If you look at the Brooker's staging diagrams, the anato...
Answer from: Radiation Oncologist at Community Practice
Agree - Drs. Balboni of Harvard (2006 and 2007) and Kronski (1990) have conflicting conclusions in their reports where Dr. Balboni's retrospective data showed no difference with acetabular blocking in terms of failures, or not. However, Kronski showed that there was transient slowed bone regrowth in...