Venous thrombosis after total hip replacement. Combined monitoring as a guide for prophylaxis and treatment.
Monitoring of 140 patients after hip-replacement arthroplasty using both impedance plethysmography and 125I fibrinogen scanning of the lower extremities showed that half had no evidence of thrombosis, one-quarter had moderate or extensive thrombosis, and one-quarter had abnormal scans only. In the patients with only abnormal scans the process appeared to resolve spontaneously. The findings by impedance plethysmography therefore appeared to differentiate non-invasively between thromboses that would and would not resolve, and it is suggested that for some patients a monitoring regimen may be preferable to routine prophylaxis.
D001178:Arthroplasty; D001792:Blood Platelets / Q000187:drug effects; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D006886:Hydroxychloroquine / Q000627:therapeutic use; D007595:Joint Prosthesis; D010992:Plethysmography, Impedance; D011183:Postoperative Complications / Q000517:prevention & control; D012075:Remission, Spontaneous; D013924:Thrombophlebitis / Q000209:etiology* / Q000517:prevention & control
D006886:Hydroxychloroquine