Incidence and Distribution of Deep Vein Thrombosis Following Total Hip Arthroplasty Using an Anterolateral Supine Approach

被引:0
作者
Itou, Junya [1 ]
Munakata, Yutaro [1 ]
Kuramitsu, Yujiro [1 ]
Madarame, Hiromi [1 ]
Okazaki, Ken [1 ]
机构
[1] Tokyo Womens Med Univ, Dept Orthopaed Surg, 8-1 Kawada Cho,Shinjuku Ku, Tokyo 1628666, Japan
关键词
anterolateral supine approach; deep vein thrombosis; pulmonary thromboembolism; total hip arthroplasty; venous thromboembolism; VENOUS THROMBOEMBOLISM; PULMONARY-EMBOLISM; KNEE ARTHROPLASTY; TRANEXAMIC ACID; ASIAN PATIENTS; INCREASED RISK; PREVENTION;
D O I
10.2147/ORR.S430145OrthopedicResearch
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose: Venous thromboembolism (VTE) is a potential major complication in patients undergoing total hip arthroplasty (THA). However, the incidence of VTE following THA using anterolateral supine approach (ALS) has not been reported. The purpose of this study was to investigate the incidence of perioperative VTE and the distribution and characteristics of deep vein thrombosis (DVT) Patients and Methods: This retrospective single-arm study analyzed the 182 consecutive hips of 164 patients who underwent primary ALS THA. Pharmacological prophylaxis consisted of enoxaparin 20 mg twice daily for approximately 6 days starting 24 h postoperatively until duplex ultrasonography was performed to determine whether postoperative DVT was present. DVT was assessed by whole-leg Doppler ultrasound, and the location and characteristics of any thrombus were recorded. If pulmonary thromboembolism was suspected, contrast-enhanced computed tomography was performed. Results: The overall incidence of VTE was 9.9% for DVT (18/182 hips) and 0.5% for pulmonary thromboembolism (1/182 hips). Most DVTs were in the soleal vein on the affected side and showed isoechoic or hypoechoic echogenicity. All thrombi were nonfloating. Conclusion: Following ALS THA with standard pharmacological prophylaxis and an early weight-bearing protocol, the incidence of perioperative DVT was approximately 10%, mostly occurring in the lower leg.
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页码:199 / 205
页数:7
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