The Prevalence and Surveillance of Deep Vein Thrombosis after Total Hip Arthroplasty / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 877-882, 1999.
Article
in Korean
| WPRIM
| ID: wpr-651725
ABSTRACT
PURPOSE:
To establish the incidence of deep vein thrombosis among Koreans after primary total hip arthroplasty and the usefulness of color doppler ultrasonography for routine noninvasive screening for deep vein thrombosis. MATERIALS ANDMETHODS:
We performed prospective, randomized routine venography and color doppler ultrasonography before and after operation in a consecutive series of 89 primary total hip arthroplasty in which no form of prophylaxis was used.RESULTS:
Of the 89 cases, eleven (12.4%) were found to have deep vein thrombosis (three proximal veins and eight distal veins) by bilateral venography. Most of the thromboses except two were asymptomatic. No patient had a symptomatic pulmonary embolism. Statistical analysis of risk factors, age, gender, weight, height, fixation method, and duration of operation time, were performed and there was no statistical difference (P>0.05). The reliability of color doppler ultrasonography for detection of deep vein thrombosis was demonstrated.CONCLUSIONS:
We found insufficient evidence to recommend routine thromboprophylaxis in primary total hip arthroplasty among Koreans. The authors recommend that routine bilateral color doppler ultrasonography screening be considered after primary total hip arthroplasty for detection of deep vein thrombosis
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pulmonary Embolism
/
Thrombosis
/
Veins
/
Phlebography
/
Mass Screening
/
Incidence
/
Prevalence
/
Prospective Studies
/
Risk Factors
/
Ultrasonography, Doppler, Color
Type of study:
Controlled clinical trial
/
Etiology study
/
Incidence study
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
1999
Type:
Article
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