The incidence of deep vein thrombosis (DVT) during hip arthroscopic surgery

被引:18
|
作者
Fukushima, Kensuke [1 ]
Takahira, Naonobu [2 ]
Uchiyama, Katsufumi [1 ]
Moriya, Mitsutoshi [1 ]
Minato, Tsuyoki [1 ]
Takaso, Masashi [1 ]
机构
[1] Kitasato Univ, Dept Orthopaed Surg, Sch Med, Minami Ku, 1-15-1 Kitasato, Sagamihara, Kanagawa 2520374, Japan
[2] Kitasato Univ, Dept Rehabil, Sch Allied Hlth Sci, Minami Ku, 1-15-1 Kitasato, Sagamihara, Kanagawa 2520374, Japan
基金
日本学术振兴会;
关键词
Hip arthroscopy; Deep vein thrombosis; Surgical complication; Low extremity surgery; VENOUS THROMBOEMBOLISM; FEMOROACETABULAR IMPINGEMENT; ORTHOPEDIC-SURGERY; THROMBOPROPHYLAXIS; COMPLICATIONS;
D O I
10.1007/s00402-016-2508-7
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The use of hip arthroscopy has been widely increasing. Although deep vein thrombosis (DVT) is thought to be a serious complication of orthopaedic surgery, there were few reports discussing DVT related to hip arthroscopic surgery. This study aimed to investigate the incidence and risk factors of DVT related to hip arthroscopic surgery. This retrospective study included 72 patients. Clinical diagnosis of DVT was confirmed through ultrasonography performed preoperatively and 3 days postoperatively. Additionally, d-dimer levels were measured preoperatively and on postoperative days 1, 3, and 7. Age, body mass index, operation time, procedure type, and d-dimer levels were statistically compared between the two groups (identified DVT vs. no identified DVT). Five patients (6.94 %) were diagnosed with DVT clinically, although all cases were asymptomatic. The mean age of the patients with identified DVT was 62.0 +/- A 6.1 years; significantly higher than the mean age of the patients without DVT (45.1 +/- A 1.7 years; P = 0.0188). The incidence of DVT during hip arthroscopy, investigated by ultrasound, was 6.94 %. From our results, we recommend screening for and treatment of asymptomatic DVT, especially in older patients, during hip arthroscopic surgery.
引用
收藏
页码:1431 / 1435
页数:5
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