Efficacy in Deep Vein Thrombosis Prevention With Extended Mechanical Compression Device Therapy and Prophylactic Aspirin Following Total Knee Arthroplasty: A Randomized Control Trial

Autor: Lala R. Hussain, Mark A. Snyder, Justin L. Gregg, Christina M. Scheuerman, Alexandra N. Sympson
Rok vydání: 2017
Předmět:
Zdroj: The Journal of Arthroplasty. 32:1478-1482
ISSN: 0883-5403
DOI: 10.1016/j.arth.2016.12.027
Popis: Background Aspirin at 325 mg twice daily is now included as a nationally approved venous thromboembolism (VTE) prophylaxis protocol for low-risk total knee arthroplasty (TKA) patients. The purpose of this study is to examine whether there is a difference in deep vein thrombosis (DVT) occurrence after a limited tourniquet TKA using aspirin-based prophylaxis with or without extended use of mechanical compression device (MCD) therapy. Methods One hundred limited tourniquet TKA patients, whose DVT risk was managed with aspirin 325 mg twice daily for 3 weeks, were randomized to either using an MCD during hospitalization only or extended use at home up to 6 weeks postoperatively. Lower extremity duplex venous ultrasonography (LEDVU) was completed on the second postoperative day, 14 days postoperatively, and at 3 months postoperatively to confirm the absence of DVT after treatment. Results The DVT rate for the postdischarge MCD therapy group was 0% and 23.1% for the inpatient MCD group ( P P Conclusion Limited tourniquet TKA patients who were mobilized early, managed with aspirin for 3 weeks postoperatively, and on MCD therapy for up to 6 weeks postoperatively experienced superior DVT prophylaxis than patients receiving MCD therapy only as an inpatient ( P
Databáze: OpenAIRE