INCIDENCE OF DEEP VEIN THROMBOSIS IN HIP ARTHROPLASTY POST MULTIMODAL PROPHYLAXIS
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 10, Pages 4111-4123
AbstractBackground: Thromboprophylaxis following Major Orthopaedic surgery is standard practice nowadays. Also the possibility of Venous Thromboembolism following Hip Arthroplasty is well recognized. Pharmacological and Mechanical agents can be used in conjunction for effective thromboprophylaxis.
Aim: To assess the incidence of Deep Vein Thrombosis (DVT) in patients undergoing Hip Hemiarthroplasty and Total Hip Arthroplasty surgeries with Thromboprophylaxis.
Patients and Methods: This was a prospective study conducted in Mahatma Gandhi Medical College and Research Institute, Pondicherry between 2019 to 2020. Patients already on anticoagulants were excluded. 28 patients who underwent hip arthroplasty both Total Hip Arthroplasty and Bipolar Hemiarthroplasty for various aetiologies participated in the study. Preoperative screening was done using Ultrasound Colour Doppler. All patients were put on Intermittent Pneumatic Compression device for five to seven days and administered Tab.Aspirin 325 twice daily from POD1 to six weeks. After six weeks Ultrasound Colour Doppler was repeated to look for DVT.
Results: The mean age of the patients - 60.85 years. There were 16 males and 12 females among which 14 underwent Hemiarthroplasty, 11 underwent Total Hip Arthroplasty and 3 underwent Revision Total Hip Arthroplasty.17.9% of the patients had diabetes, 25% had hypertension. 17.9% of the patients had smoking and alcoholic habits. At the end of six weeks there was no evidence of DVT among the 28 patients.
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