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Postoperative indomethacin for 3 weeks
9%
45/522
Postoperative indomethacin for 6 weeks
17%
89/522
No treatment indicated; can treat later if heterotopic bone forms
5%
26/522
800 centigrey of radiation given to the periprosthetic soft tissues preoperatively on the morning of surgery
46%
241/522
400 centigrey of radiation given to the periprosthetic soft tissues day 2 postoperatively
23%
118/522
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This question centers on the prophylactic treatment to reduce the risk of heterotopic bone formation. Prophylaxis is indicated because he has already demonstrated bone formation with his prior hip arthroplasty, which places him at increased risk for developing heterotopic bone on the contralateral side. He is on warfarin and has renal insufficiency, which makes the use of NSAIDs contraindicated. The recommended dose is 600 to 800 centigrey of radiation given within 24 hours of surgery preoperatively or 72 hours postoperatively.
2.9
(26)
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