Intermittent Pneumatic Compression Prophylaxis for Proximal Deep Venous Thrombosis after Total Hip Replacement*

1996 ◽  
Vol 78 (11) ◽  
pp. 1735-40 ◽  
Author(s):  
STEVEN T. WOOLSON
1993 ◽  
Vol 3 (2) ◽  
pp. 39-45
Author(s):  
F Ravasi ◽  
V. Sansone ◽  
P. Gifuni

The incidence of deep venous thrombosis (DVT) after total hip replacement is estimated to be up to 45%. Venography is widely accepted as the gold standard procedure for diagnosis of DVT. With the purpose of detecting the presence of DVT in asymptomatic patients operated on for primary hip replacement, we adopted Real-time B-Mode ultrasonography in order to evaluate its specificity and sensitivity in 68 patients. A venography was performed in all the cases in order to obtain a gold standard to compare with sonography. Sensitivity and specificity of sonography for femoral thrombosis were 71.4% and 97.6% respectively. Ultrasounds were not able to detect thrombosis of the calf veins but the risk of an evolution to worse pulmonary embolism is quite insignificant at this level. We suggest the use of B-mode ultrasonography for DVT screening of lower limbs in all the patients undergoing total hip replacement.


Drugs ◽  
1996 ◽  
Vol 52 (Supplement 7) ◽  
pp. 47-54 ◽  
Author(s):  
André Planes ◽  
Nicole Vochelle ◽  
Jean-Yves Darmon ◽  
Michel Fagola ◽  
Michel Bellaud ◽  
...  

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