Original Research
2017 March
Volume : 5 Issue : 1


Deep vein thrombosis in joint replacement surgeries-A prospective analysis

Ashwin Kumar AH, Bhawna Dev, Vijayaraghavan PV

Pdf Page Numbers :- 21-28

 Ashwin Kumar AH1,2,*, Bhawna Dev2 and Vijayaraghavan PV2

1Department of Orthopaedics, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India

2Department of Orthopaedics-Sri Rama Chandra Medical College, Sri Rama Chandra University, Porur, Chennai-600116

 

*Corresponding author: Dr. A. H. Ashwin Kumar M.S (Ortho), DNB (Ortho), MRCSEd., Department of Orthopaedics, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India. Tel.: 040-27848849/+917680993355; Email: ashwin_ortho@yahoo.com

 

Received 01 November 2016; Revised 13 November 2016; Accepted 23 December 2016; Published 31 December 2016

 

Citation: Ashwinkumar AH, Bhawna Dev, Vijayaraghavan PV. Deep vein thrombosis in joint replacement surgeries-A prospective analysis. J Med Sci Res. 2017; 5(1):21-28. DOI: http://dx.doi.org/10.17727/JMSR.2017/5-5

 

Copyright: © 2017 Ashwinkumar AH, et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

 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.

 

Keywords: deep vein thrombosis; DVT; color doppler; total hip replacements

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