Postphlebitic syndrome after hip arthroplasty. 43 patients followed at least 5 years.
We reviewed 43 patients using clinical scoring for evidence of postphlebitic syndrome at least 5 years after hip replacement. All had had a venogram as part of a screening study at the time of surgery. The postphlebitic syndrome was identified in 13 patients and was disabling in 6. The syndrome was present in 9 of the 11 patients with a venographically proven deep vein thrombosis (DVT) and in 4 of the 32 without DVT. Postphlebitic sequelae had developed despite anticoagulant therapy for the acute DVT. The postphlebitic syndrome following asymptomatic deep vein thrombosis is an important long-term complication of total hip replacement.
Queen's University of Belfast, Department of Orthopedics, Musgrave Park Hospital, Northern Ireland.
M A
MA
McNally
M G
MG
McAlinden
B M
BM
O'Connell
R A
RA
Mollan
D000925:Anticoagulants / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D011186:Postphlebitic Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D012720:Severity of Illness Index
D000925:Anticoagulants