Incidences of Deep Vein Thrombosis and Pulmonary Embolism after Total Knee Arthroplasty Using a Mechanical Compression Device with and without Low-Molecular-Weight Heparin
The Journal of Korean Knee Society
;
: 213-218, 2016.
Article
in English
| WPRIM
| ID: wpr-759229
ABSTRACT
PURPOSE:
To investigate the incidence of thromboembolic events and complications related to bleeding after total knee arthroplasty (TKA) with a mechanical compression device alone or in combination with low-molecular-weight heparin (LMWH). MATERIALS ANDMETHODS:
A total of 489 TKA patients (776 knees) were retrospectively reviewed for the incidence of thromboembolic events and complications related to bleeding. While 233 patients (354 knees) were treated with a mechanical compressive device without LMWH, 256 patients (422 knees) were treated with the mechanical compressive device along with LMWH.RESULTS:
The incidences of deep vein thrombosis (DVT) and pulmonary embolism (PE) were 15 of 375 knees (4.0%) and 5 of 375 knees (1.3%), respectively, in the group that used only a mechanical compressive device, and 14 of 401 knees (3.4%) and 5 of 401 knees (1.2%), respectively, in the group that used the mechanical compressive device with LMWH. There was no significant difference between the two groups (p=0.125 and p=0.146, respectively). The postoperative hemovac drainage amount was 635±57 mL in the group with a mechanical compressive device only and 813±84 mL in the group with the device and LMWH; therefore, the amount of drainage was significantly greater in the latter group (p=0.013).CONCLUSIONS:
Mechanical compression alone for prophylaxis against DVT and PE after TKA can be an attractive option in Korean patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arthroplasty
/
Pulmonary Embolism
/
Thromboembolism
/
Drainage
/
Incidence
/
Retrospective Studies
/
Heparin, Low-Molecular-Weight
/
Arthroplasty, Replacement, Knee
/
Venous Thrombosis
/
Hemorrhage
Type of study:
Incidence study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
The Journal of Korean Knee Society
Year:
2016
Type:
Article
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