scholarly journals EFFECTIVENESS OF DEEP VENOUS THROMBOSIS PREVENTION IN TOTAL HIP ARTHROPLASTY

2021 ◽  
Vol 29 (6) ◽  
pp. 293-296
Author(s):  
VICTOR MARTINS MANFREDI ◽  
MATHEUS BITTENCOURT MACHADO ◽  
NÍCOLAS GIORGINI BARBATO ◽  
EDMILSON TAKEHIRO TAKATA ◽  
EIFFEL TSUYOSHI DOBASHI

ABSTRACT Objective: To determine the efficacy of Deep Venous Thrombosis (DVT) prophylaxis protocol in patients undergoing total hip arthroplasty (THA), and to verify differences in the rates of this complication when comparing primary replacement surgeries with revision surgeries. Methods: We conducted a retrospective study of patients operated between 2012 and 2018, with inclusion and non-inclusion criteria determined by the researchers. A protocol was created to compile data including 92 patients, amounting to 110 operated hips, divided by gender, age, laterality, among other criteria. For THA cases, low molecular weight heparin chemoprophylaxis was used, associated with the use of pneumatic and elastic compression, concomitant to deambulation as soon as possible. The detection of DVT was determined by clinical evaluation and imaging exams such as: simple radiographs, ultrasound, arterial and venous color doppler, and laboratory tests. Results: The use of the protocol was very effective in our study. Only one (1.09%) case of deep venous thrombosis was found. Conclusion: The use of thromboprophylaxis for DVT is indispensable, as was clearly demonstrated by these cases. We observed only one (1.09%) case of DVT in our series. Level of Evidence III, Retrospective Study.

1994 ◽  
Vol &NA; (299) ◽  
pp. 203???208 ◽  
Author(s):  
ARTHUR TROWBRIDGE ◽  
CLIFFORD KENT BOESE ◽  
BERNADETTE WOODRUFF ◽  
HANES H. BRINDLEY ◽  
WALLACE E. LOWRY ◽  
...  

1999 ◽  
Vol 361 ◽  
pp. 123-130 ◽  
Author(s):  
Knute O. Buehler ◽  
Darryl D. D'Lima ◽  
William J. Petersilge ◽  
Clifford W. Colwell ◽  
Richard H. Walker

2011 ◽  
Vol 21 (6) ◽  
pp. 684-687 ◽  
Author(s):  
Motomi Ishibe ◽  
Satoru Kariya

We conducted a retrospective study of the occurrence of deep venous thrombosis (DVT) following mini-posterior total hip arthroplasty (THA) in Japanese patients. From May 2004 to December 2009 mini-posterior THA was performed on 1659 cases, of whom 603 cases didn't receive anticoagulants (Group 1), 547 cases received 2.5 mg percutaneous injection of fondaparinux (a factor Xa inhibitor) daily for 7 days starting the day after surgery (Group 2), and 509 cases received 2000IU percutaneous injection of enoxaparin (low-molecular-weight heparin) twice daily for 7 days starting the day after surgery (Group 3). The baseline characteristics were very similar in each group. All patients started walking the day after surgery, were advised to wear graduated compression stockings for six weeks after the operation, and used a foot pump for 3 hours a day postoperatively for several days. A week after surgery Duplex ultrasound with colour-flow Doppler imaging of the lower extremities was performed. The occurrence of DVT was significantly different between Groups 1, 2, and 3 (p<0.001): 57 cases (9.5%), 4 cases (0.7%), and 0 cases (0%), respectively. No patients of any group had clinically detected pulmonary emboli. In this study we showed that adding anticoagulants with foot pumps further reduced the incidence of DVT, which seldom occurs following less invasive mini-posterior THA combined with early mobilisation, foot pumps, and anticoagulants.


1994 ◽  
Vol 9 (6) ◽  
pp. 611-616 ◽  
Author(s):  
Peter G. Dalldorf ◽  
Frederick M. Perkins ◽  
Saara Totterman ◽  
Vincent D. Pellegrini

2001 ◽  
Vol 30 (11) ◽  
pp. 890-896 ◽  
Author(s):  
F. Böttner ◽  
T. P. Sculco ◽  
N. E. Sharrock ◽  
G. H. Westrich ◽  
J. Steinbeck

2015 ◽  
Vol 20 (6) ◽  
pp. 1142-1147 ◽  
Author(s):  
Hiroshi Watanabe ◽  
Kenji Takahashi ◽  
Kenji Takenouchi ◽  
Akiko Sato ◽  
Hidemi Kawaji ◽  
...  

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