Incidence of deep-vein thrombosis in patients with fractures of the lower extremity distal to the hip.
Our purpose was to determine the incidence of deep-vein thrombosis (DVT) in patients who have had early operative fixation of fractures of the lower extremity distal to the hip.
There is a high incidence of distal thrombosis in patients who have undergone early operative fixation of lower-extremity fractures.
The incidence of DVT is higher with proximal extremity fractures than with distal extremity fractures.
Most clots are occult and do not progress clinically.
Given the high incidence of DVT with femoral and tibial plateau fractures, older age, and longer operating times, anticoagulation prophylaxis may be indicated.
Ours was a prospective incidence study.
All patients who had had early operative fixation of lower-extremity fractures were eligible (n=176).
Seventy-four were excluded based on specific criteria.
The remaining 102 patients underwent lower-extremity venography an average of 9 days after operative fixation of their fractures (range 3-22 days).
Eight patients had bilateral lower-extremity fractures.
The patients were followed clinically for 6 weeks to identify complications related to venous disease.
The overall incidence of clinically occult DVT was 28%. Of the represented fractures, 40% were of the femoral shaft (eight of 20), 43% of the tibial plateau (12 of 28), 22% of the tibial shaft (12 of 54), and 12.5% of the tibial plafond (one of eight).
Four of the thrombi were proximal to the popliteal fossa.
Four of the patients had clinical evi...
Mots-clés Pascal : Fracture, Jambe, Cuisse, Homme, Complication, Incidence, Epidémiologie, Thrombose, Veine profonde, Localisation, Tibia, Fémur, Os, Membre inférieur, Système ostéoarticulaire pathologie, Traumatisme, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Veine pathologie
Mots-clés Pascal anglais : Fracture, Leg, Thigh, Human, Complication, Incidence, Epidemiology, Thrombosis, Deep vein, Localization, Tibia, Femur, Bone, Lower limb, Diseases of the osteoarticular system, Trauma, Cardiovascular disease, Vascular disease, Venous disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0252022
Code Inist : 002B16H. Création : 199608.