Screening for deep-venous thrombosis after hip and knee replacement without prophylaxis.
We performed routine venography after operation in a consecutive series of 252 patients with total joint arthroplasties in whom no form of routine chemical or mechanical prophylaxis had been used.
The prevalence of deep-vein thrombosis (DVT) was 32% (16% distal, 16% proximal) after total hip replacement and 66% (50% distal, 16% proximal) after total knee replacement (p<0.001).
We did not treat distal DVT.
There were only two readmissions within three months of surgery because of thromboembolic disease.
There were two deaths within this period, neither of which was due to pulmonary embolism.
Mots-clés Pascal : Prothèse, Total, Genou, Hanche, Exploration, Diagnostic, Thrombose, Veine profonde, Dépistage, Epidémiologie, Prévalence, Evolutivité, Homme, Complication, Chirurgie orthopédique, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Veine pathologie
Mots-clés Pascal anglais : Prosthesis, Total, Knee, Hip, Exploration, Diagnosis, Thrombosis, Deep vein, Medical screening, Epidemiology, Prevalence, Evolutivity, Human, Complication, Orthopedic surgery, Cardiovascular disease, Vascular disease, Venous disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0489278
Code Inist : 002B25I. Création : 03/02/1998.