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Pathological bone formation into soft tissues around the hip is known as heterotopic ossification. Osteogenic debris deposited while reaming the femur is postulated mechanism.This pathological bone formation may be linked to aggressive tissue handling during operation. The complex femoral diaphyseal fractures are difficult to reduce and this increases the probability of aggressive tissue handling by operating surgeon. So we postulated that complex fractures of femoral diaphysis may possess an increased risk of heterotopic ossification. Material and Methods: Present retrospective study was done on 45 patients in whom intramedullary interlocking nail was done during the period of 2015 to 2017 at Rohilkhand Medical College. All fractures were diaphysial in location. All surgeries were done by single orthopaedic surgeon. No preventive measures for heterotopic ossification were given. Evidence of heterotopic ossification around trochanter and their relation with the type of fracture were noted and classified according to Brumback Classification. Results: We found no ossification in 51% of cases. Mild grade-1 and 2 ossifications were seen in only 36% and 11% patients respectively. Maximum number of grade-2 ossifications (4 out of 5) were seen in patients with comminuted fracture group. Grade-3 ossification was seen in only 1 patient of our sample and that was comminuted fracture. We have not encountered any grade-4 ossification. Conclusion: The overall incidence of heterotopic ossification in our study sample was 49%. More severe grade ossifications (grade-2 and 3) have more predilection towards comminuted fracture variant.

international journal of contemporary medical research

To Determine the Prevalence of Heterotopic Ossification around Trochanter and its Relation to Complexity of Diaphyseal Femur Fracture after Reamed Intramedullary Interlock Nailing