The Journal of Bone and Joint Surgery, Vol 70, Issue 6 878-882, Copyright © 1988 by Journal of Bone and Joint Surgery, Inc
Low incidence of deep-vein thrombosis after cementless total hip replacement
YH Kim and JS Suh
Department of Orthopedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
The incidence of deep-vein thrombosis was studied in 146 consecutive Korean
patients who had a cementless total hip replacement with a porous-coated
anatomic prosthesis. All of the patients had discontinued taking aspirin,
aspirin-containing compounds, or other antiplatelet medications fourteen
days before admission to the hospital for the operation. Deep-vein
thrombosis was diagnosed by roentgenographic venography, and pulmonary
embolism, by perfusion lung-scanning. There was an unusually low incidence
(10 per cent) of deep-vein thrombosis in this series. In contrast to other
reports, we did not identify a relationship between deep-vein thrombosis
and so-called risk factors such as advanced age, number of venous valves
(more than five) in the lower extremity, abnormal coagulation-assay data,
certain diseases, or preoperative limitation of mobility. In addition,
hypertension, blood group, surgical approach, and choice of cemented or
cementless total hip replacement did not seem to affect the incidence of
deep-vein thrombosis. There was a low incidence of deep-vein thrombosis in
patients in whom obesity, prolonged immobilization postoperatively,
varicose veins, and hyperlipemia were not factors.
CiteULike 
Connotea 
Del.icio.us 
Technorati What's this?
