[Effects of primary deep venous valvular incompetence of lower limb in deep vein thrombus after total knee replacement].
OBJECTIVE
To evaluate the effects of primary deep venous valvular incompetence of lower limb (PDVI) to the occurrence of deep vein thrombosis (DVT) after human total knee replacement (TKR).


METHODS
One hundred and twenty-six patients who planed to receive TKR were examined by color doppler flow imaging (CDFI). The patients were divided into 2 groups depending on whether they were found backstreaming in femoral vein or not. When the refluxing time > 1 s, the patients were included in PDVI group; When the refluxing time < or = 1 s, the patients were included in without PDVI group. In 7 d after operation all the patients were re-examined by CDFI to find if there was DVT. The results were tested by chi2 statistical analysis.


RESULTS
Among the 126 patients, 54 had PDVI, and 72 without PDVI. Fifty patients had DVT, total incidence rate 39.7% (50/126). In PDVI group 33 patients had DVT (61.1%, 33/54); In without PDVI group 17 patients had DVT (23.6%, 17/72), which was lower than PDVI group (chi2 = 21.227, P < 0.05).


CONCLUSIONS
PDVI may be a risk for occurrence of DVT after TKR.
Yang
Li
L
Department of Ultrasound, Peking University People's Hospital, Beijing 100044, China.
Lü
Hou-shan
HS
Zhang
Wan-lei
WL
Li
Jian-guo
JG
Jiang
Jun
J
D000368:Aged; D019645:Arthroplasty, Replacement, Knee; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D014689:Venous Insufficiency / Q000150:complications*; D020246:Venous Thrombosis / Q000209:etiology*