Problems and Management of Venous Thromboenbolism Following Primary Total Hip Arthroplasty

DOI 3 References
  • Kiyota Katsuhiko
    Department of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Japan
  • Nakane Nobutake
    Department of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Japan
  • Ishii Takako
    Department of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Japan
  • Kubota Koji
    Department of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Japan
  • Takahashi Tomoki
    Department of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Japan
  • Hayashida Yoichi
    Department of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Japan
  • Eto Shuichi
    Department of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Japan
  • Takai Seiko
    Department of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Japan
  • Takai Hirokazu
    Department of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Japan

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  • 当院におけるＴＨＡ時のＶＴＥ対策と問題点

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From April 2008 through April 2010, 185 patients (38 males and 147 females, and mean 65.0 years) undergoing primary total hip arthroplasty (THA) had blood taken for measurement of D-dimer on postoperative day 6, and color doppler ultrasounds of the lower extremities were taken on postoperative days 2 and 7. They were managed with intermittent pneumatic compression devices immediately after operation and low molecular weight heparin after removal of the epidural catheter.<BR>Twenty- two deep venous thrombosis (DVT) (prevalence, 11.9%) were identified, however, no symptomatic pulmonary embolism (PE) was seen.<BR>D-dimer of 10μg/ml was significantly effective as the cutoff for DVT detection. Five patients who were diagnosed as DVT on postoperative day 7 had D-dimer abave 10μg/ml. The results of the present study agreed with data reported previously.<BR>Prevention and careful inspection for DVT and PE through varions tests are important.

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