[Prevention of phlebitis in orthopedic traumatology. Personal experience in surgery of the hip].
The authors focus their prevention of post-operative deep venous thrombosis in hip- surgery on the struggle against venous stasis bearing the following points in mind: pre-operative angiological examination whenever that is possible (investigation of haemodynamic parameters in deficient venous zone, motivating the patient by explanations of why and how he will have an important active role to play); systematic pre- and post-operative, even per-operative, elastic compression; early nursing, respiratory reeducation, static and dynamic muscular exercise; leaving bed early on the day after the operation, with pressure on the planta, anti-inflammatory medication, never systematic anti-coagulants except in a few very rare specific cases. The authors' view has been confirmed by the clinical results following the analysis of 353 surgical hip operations. In the two months following operation, there have been only 11 regrettable cases (that is 3%) of possible thrombo-embolie incidence: 5 cases of phlebitis; one benign pulmonary embolism (three of these patients were on a course of preventive anti-coagulation treatment) and five sudden deaths (massive pulmonary embolism mentioned on principle) in patients of extremely advanced age: 88 years average.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000792:Angiography; D000925:Anticoagulants / Q000627:therapeutic use; D002648:Child; D003020:Clothing; D004434:Early Ambulation; D005260:Female; D006615:Hip / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010689:Phlebitis / Q000517:prevention & control*; D010991:Plethysmography; D011183:Postoperative Complications
D000925:Anticoagulants
Prévention des phlébites en orthopédie traumatologie. Expérience personnelle dans la chirurgie de la hanche.