Incidence of Deep Vein Thrombosis following Total Hip Arthroplasty: A Doppler Ultrasonographic Study

Autor: Keng Lin Wong, Richillo Daguman, Kay Hui Lim, Liang Shen, Krishna Lingaraj
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Journal of Orthopaedic Surgery, Vol 19 (2011)
Druh dokumentu: article
ISSN: 2309-4990
23094990
DOI: 10.1177/230949901101900111
Popis: Purpose. To investigate the incidence of deep vein thrombosis (DVT) following total hip arthroplasty (THA) in Singaporean patients. Methods. 197 patients (mean age, 60 years) underwent primary THA (n=155) or revision procedure (n=42) without receiving routine chemoprophylaxis. There were 149 Chinese, 25 Malays, 19 Indians, and 4 Eurasians. Duplex ultrasonography to detect DVT was performed on both lower limbs on postoperative day 5. Results. 15 (8%) patients developed DVT, which was proximal in 6 and distal in 9. Only one patient had pulmonary embolism. The presence of DVT did not correlate to age, gender, race, presence of diabetes mellitus, history of malignancy, smoking habit, fixation type, primary versus revision type of surgery, or operating time. Conclusion. The incidence of DVT following THA in Singaporean patients is low, and routine chemoprophylaxis may not be indicated.
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