Clinical and hemodynamic sequelae of lower-extremity, deep-vein thrombosis after total joint arthroplasty.
To determine the long-term sequelae of lower-extremity deep-vein thrombosis (DVT) after total hip or knee arthroplasty, 25 patients with venographically proven lower-extremity DVT were studied. A study group of 16 patients was available 14 months postoperatively. The results of clinical and hemodynamic evaluation were compared with those of a randomly selected group of patients who had negative venographic findings after total joint arthroplasty. There were no statistically significant differences in calf pain or swelling between the two groups. The presence of venous varicosities and pigmentation were unreliable indicators of the post-thrombotic syndrome. There were no statistically significant differences in vein patency, valve competency, and venous recovery times. There was a high incidence of hemodynamic abnormalities in the historically uninvolved extremities of patients with postoperative DVT.
Kaempffe
F A
FA
Department of Orthopaedic and Hand Surgery, Myers Community Hospital, Sodus, New York.
Lifeso
R M
RM
Phillips
K
K
Hvisdak
K S
KS
Currier
C
C
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006439:Hemodynamics; D006622:Hip Prosthesis; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D011183:Postoperative Complications / Q000503:physiopathology*; D013924:Thrombophlebitis / Q000209:etiology / Q000503:physiopathology*; D014648:Varicose Veins / Q000209:etiology