The preoperative prevalence and postoperative incidence of thromboembolism in patients with hip fractures treated with dextran prophylaxis.
A prospective preoperative and postoperative venographic study of hip fracture patients has documented a significant preoperative prevalence and postoperative incidence of thromboembolic disease. A statistically higher incidence of deep-venous thrombosis is observed in patients with femoral neck fractures compared to patients with intertrochanteric fractures. A 9% (15 of 176) preoperative prevalence and an 11% (12 of 108) incidence of new postoperative thromboembolic disease were detected. There was a predilection for deep-venous thrombosis in the injured extremity compared to the noninjured extremity both preoperatively and postoperatively.
Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock 72205-7199.
T S
TS
Roberts
C L
CL
Nelson
C L
CL
Barnes
E J
EJ
Ferris
J C
JC
Holder
D W
DW
Boone
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003911:Dextrans / Q000627:therapeutic use*; D005260:Female; D005265:Femoral Neck Fractures / Q000150:complications; D006620:Hip Fractures / Q000150:complications*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D011184:Postoperative Period; D015995:Prevalence; D011446:Prospective Studies; D013923:Thromboembolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000517:prevention & control*
D003911:Dextrans