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The role of preoperative vascular imaging and embolisation for the surgical resection of bilateral hip heterotopic ossification
  1. Elizabeth Zielinski1,
  2. Benjamin Je Lin Chiang2 and
  3. Jibanananda Satpathy1
  1. 1 Department of Orthopaedics, Virginia Commonwealth University, Richmond, Virginia, USA
  2. 2 Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA
  1. Correspondence to Dr Elizabeth Zielinski, elizabeth.zielinski{at}


The surgical excision of heterotopic ossification can provide improved function for patients; however, complications can include damage to nearby vessels and nerves, blood loss and recurrence. In the preoperative planning for excision, our case report describes the combination of CT angiography, preoperative embolisation of involved vascular structures and the use of intraoperative vascular surgery for dissection around key structures to aid in the reduction of morbidity in these patients.

  • orthopaedics
  • radiology
  • vascular surgery
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  • Contributors EZ, JS and BJLC have provided substantial contributions to the conception and design of this case report, assisted in drafting and revising the work for important intellectual content and provided final approval of the version for publication. JS also provided and cared for the study patient. All authors are in agreement to be accountable for all aspects of the work, in enduring the questions related to the accuracy and integrity of any part of the work are appropriately investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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