Deep vein thrombosis in joint replacement surgeries-A prospective analysis

Background: Orthopaedic surgeries are included in high-risk group for development of deep vein thrombosis (DVT). Since there is paucity of Indian data regarding the extent to which patients are affected with DVT, the study was aimed to get an idea of the incidence of DVT in hip and knee replacements...

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Main Authors: Ashwin Kumar, Bhawna, Vijayaraghavan
Format: Article
Language:English
Published: KIMS Foundation and Research Center 2017-01-01
Series:Journal of Medical and Scientific Research
Subjects:
Online Access:http://jmsronline.com/article.aspx?ID=Deep-vein-thrombosis-in-joint-replacement-surgeries-A-prospective-analysis
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author Ashwin Kumar
Bhawna
Vijayaraghavan
author_facet Ashwin Kumar
Bhawna
Vijayaraghavan
author_sort Ashwin Kumar
collection DOAJ
description Background: Orthopaedic surgeries are included in high-risk group for development of deep vein thrombosis (DVT). Since there is paucity of Indian data regarding the extent to which patients are affected with DVT, the study was aimed to get an idea of the incidence of DVT in hip and knee replacements and to analyze the risk factors. Materials & methods: Patients who underwent total hip arthroplasty, total knee arthroplasty & hemi arthroplasty at Sri Ramachandra University, Chennai during the period April 2007 to August 2009 were prospectively studied to know the incidence of DVT and to analyze the associated risk factors, using serial color doppler. Results: The incidence of DVT in the study was 6.4%. Factors like advanced age, increased preoperative & postoperative immobility due to hip fractures, bilateral knee surgeries, patients undergoing cemented hemiarthroplasty and patients not given any form of prophylaxis showed increased incidence of DVT. Postoperative chemoprophylaxis for patients who underwent arthroplasty showed a reduction in the incidence of DVT (3.8%). All the comorbid conditions which were considered as risk factors were not significantly associated with increased incidence of DVT. DVT presented in early or late postoperative period with the average time gap of 19.7 days. DVT was common in the operated limb, and proximal DVT was more common.
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spelling doaj.art-0434c81eaa0a435cb12c485055912a722022-12-21T22:23:14ZengKIMS Foundation and Research CenterJournal of Medical and Scientific Research2321-13262394-112X2017-01-0151212810.17727/JMSR.2017/5-5Deep vein thrombosis in joint replacement surgeries-A prospective analysisAshwin Kumar0Bhawna1Vijayaraghavan2AHDevPVBackground: Orthopaedic surgeries are included in high-risk group for development of deep vein thrombosis (DVT). Since there is paucity of Indian data regarding the extent to which patients are affected with DVT, the study was aimed to get an idea of the incidence of DVT in hip and knee replacements and to analyze the risk factors. Materials & methods: Patients who underwent total hip arthroplasty, total knee arthroplasty & hemi arthroplasty at Sri Ramachandra University, Chennai during the period April 2007 to August 2009 were prospectively studied to know the incidence of DVT and to analyze the associated risk factors, using serial color doppler. Results: The incidence of DVT in the study was 6.4%. Factors like advanced age, increased preoperative & postoperative immobility due to hip fractures, bilateral knee surgeries, patients undergoing cemented hemiarthroplasty and patients not given any form of prophylaxis showed increased incidence of DVT. Postoperative chemoprophylaxis for patients who underwent arthroplasty showed a reduction in the incidence of DVT (3.8%). All the comorbid conditions which were considered as risk factors were not significantly associated with increased incidence of DVT. DVT presented in early or late postoperative period with the average time gap of 19.7 days. DVT was common in the operated limb, and proximal DVT was more common.http://jmsronline.com/article.aspx?ID=Deep-vein-thrombosis-in-joint-replacement-surgeries-A-prospective-analysisdeep vein thrombosisDVTcolor dopplertotal hip replacements
spellingShingle Ashwin Kumar
Bhawna
Vijayaraghavan
Deep vein thrombosis in joint replacement surgeries-A prospective analysis
Journal of Medical and Scientific Research
deep vein thrombosis
DVT
color doppler
total hip replacements
title Deep vein thrombosis in joint replacement surgeries-A prospective analysis
title_full Deep vein thrombosis in joint replacement surgeries-A prospective analysis
title_fullStr Deep vein thrombosis in joint replacement surgeries-A prospective analysis
title_full_unstemmed Deep vein thrombosis in joint replacement surgeries-A prospective analysis
title_short Deep vein thrombosis in joint replacement surgeries-A prospective analysis
title_sort deep vein thrombosis in joint replacement surgeries a prospective analysis
topic deep vein thrombosis
DVT
color doppler
total hip replacements
url http://jmsronline.com/article.aspx?ID=Deep-vein-thrombosis-in-joint-replacement-surgeries-A-prospective-analysis
work_keys_str_mv AT ashwinkumar deepveinthrombosisinjointreplacementsurgeriesaprospectiveanalysis
AT bhawna deepveinthrombosisinjointreplacementsurgeriesaprospectiveanalysis
AT vijayaraghavan deepveinthrombosisinjointreplacementsurgeriesaprospectiveanalysis