Clin Osteol 2021; 26(2): 98-102

Atraumatic heterotopic ossification after pulmonary failure and prolonged mechanical ventilation: case reportCase reports

Jr Kloc Ján1, Šteňo Boris2, Sr Kloc Ján1
1 Oddelenie ortopédie, FNsP J. A. Reimana, Prešov
2 II. ortopedicko- traumatologická klinika LF UK a UNB, Nemocnica sv. Cyrila a Metoda, Bratislava

Heterotopic ossification is well-described, often complication after musculoskeletal trauma, surgery and neurotrauma. We present a patient who developed heterotopic ossification of hip joints with bony ankylosis after prolonged artificial pulmonary ventilation because of pulmonary failure after H1N1 pneumonia. Atraumatic heterotopic ossification occurs in critically ill patients after mechanical ventilation, including patients with COVID-19 disease. We consider imobilization and artificial pulmonary ventilation as a possible causal factors of heterotopic ossification. Early diagnosis and implementation of potentional preventive and therapeutical tools, such as anti-inflammatory drugs and appropriate physiotherapy, are needed to decrease morbidity in patients with risk factors. The timing of surgical excision must be considered according to a risk of recurrence and irreversible joint damage.

Keywords: artificial mechanical ventilation; COVID-19; heterotopic ossification

Received: July 14, 2021; Accepted: August 4, 2021; Published: December 11, 2021  Show citation

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Ján JK, Šteňo B, Ján SK. Atraumatic heterotopic ossification after pulmonary failure and prolonged mechanical ventilation: case report. Clinical Osteology. 2021;26(2):98-102.
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