title: Clinical efficacy of mechanical thromboprophylaxis without anticoagulant drugs for elective hip surgery in an Asian population.
abstract: To evaluate the clinical efficacy of mechanical thromboprophylaxis after elective hip surgery, we reviewed 3016 patients who underwent hip surgery at 5 centers. Primary total hip arthroplasty (THA), revision THA, and pelvic or femoral osteotomies were performed in 2648, 298, and 70 patients, respectively. Epidural anesthesia, intraoperative calf bandage, early mobilization, and intermittent pneumatic compression postoperatively with additional use of elastic stockings were the basic regimen for thromboprophylaxis. Postoperatively, no cases of fatal pulmonary embolism (PE) were encountered. One symptomatic PE and 4 symptomatic deep vein thrombosis cases were identified, all of which were successfully treated using heparin and warfarin. By 6 months, no deaths had occurred. We conclude that mechanical thromboprophylaxis without anticoagulant drugs is safe and effective for elective hip surgeries in our patient population.
authors: Department of Orthopedic Medical Engineering, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
authors: Nobuhiko
authors: N
authors: Sugano
authors: Hidenobu
authors: H
authors: Miki
authors: Nobuo
authors: N
authors: Nakamura
authors: Masaharu
authors: M
authors: Aihara
authors: Kengo
authors: K
authors: Yamamoto
authors: Kenji
authors: K
authors: Ohzono
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000767:Anesthesia, Epidural; D000925:Anticoagulants / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D044466:Asian People; D002648:Child; D004434:Early Ambulation; D017558:Elective Surgical Procedures / Q000009:adverse effects; D005260:Female; D006621:Hip Joint / Q000601:surgery; D006801:Humans; D048228:Intermittent Pneumatic Compression Devices; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects*; D012086:Reoperation / Q000009:adverse effects; D012189:Retrospective Studies; D053828:Stockings, Compression; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000209:etiology / Q000517:prevention & control*; D055815:Young Adult
chemical_list: D000925:Anticoagulants