1. Detection of Asymptomatic Venous Thrombosis following Hip Replacement Surgery
- Author
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O. Guingaud, C. Mazel, C. Strauss, E. de Thomasson, I. Caux, and P. Girard
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Duplex ultrasonography ,Routine screening ,business.industry ,030204 cardiovascular system & hematology ,medicine.disease ,Asymptomatic ,Surgery ,03 medical and health sciences ,Venous thrombosis ,030104 developmental biology ,0302 clinical medicine ,Hip replacement ,medicine ,Orthopedics and Sports Medicine ,medicine.symptom ,business - Abstract
This study evaluates a pragmatic approach using duplex ultrasonography (US) for detecting venous thromhosis (VT) after total hip arthroplasty (THA).Venous B-mode and colour duplex US examination of both legs including a systematic evaluation of calf veins was performed twice during hospitalisation in 286 consecutive patients. VT was diagnosed in 31 patients (12%). Thrombosis was asymptomatic in 28 patients (90%), and was bilateral or concerned the non-operated leg in 6 patients (19,4%). No clinical pulmonary embolism occurred during hospitalisation. Prior phlebitis and age over 70 were identified as statistically significant risk-factors (pVenous US performed twice after THA detected VT in 31 patients, 90% of these were asymptomatic. This approach might explain the absence of pulmonary embolism (PE) in our series, and support a systematic evaluation of the vein of the lower limb with ultrasonography after THA.
- Published
- 1999
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