[Clinical analysis of preoperative deep venous thrombosis (DVT) complicated lower extremity close fractures].
OBJECTIVE
To study the instance of deep venous thrombosis(DVT) complicated by preoperative lower extremity close fracture.


METHODS
Retrospectively analyzed the clinical data of 54 patients with DVT (through color Doppler to final diagnosis) complicated by preoperative lower extremity close fracture from March 2008 to February 2009, and explored the concomitant reason of DVT. There were 23 males and 31 females with age for 23-95 years old.


RESULTS
DVT including thrombus of ilio-venae external, thrombus of femoral vein, thrombus of popliteal vein, thrombus of posterior tibial veins and thrombus of soleus venae. The instance of DVT complicated by preoperative lower extremity close fracture: (1) The age of 23 cases (42.59%) more than 70 years. (2) 11 cases (20.37%) combined with syndrome, 2 cases had hypertension, 3 cases had hypertension and diabetes, 2 cases hypertension and cerbral infarction, 4 cases had hypertension, diabetes and coronary heart disease. (3) 10 cases (18.51%) were multi-fractures. (4) 28 cases (51.85%) occurred DVT at 7-14 days after lower extremity close fracture.


CONCLUSIONS
Advanced age, complicating hypertension, diabetes, coronary heart disease, cerbral infarction, multi-fractures may be lead to DVT. Multitudinous DVT occurred at 7-14 days after fracture, as early as possible operation has important significance on prevention DVT to decrease risk of pulmonary embolism.
Xu
Zhi-qiang
ZQ
Department of Orthopaedics, Traditional Chinese Medical Hospital of Foshan, Foshan 528000, Guangdong, China. ssfsfy@163.com
Li
Yan
Y
Liao
Rong-zong
RZ
Fang
Yao-zhong
YZ
Liu
Zhao-hong
ZH
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005596:Fractures, Closed / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007866:Leg / Q000098:blood supply*; D007867:Leg Bones / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D057234:Preoperative Period; D012189:Retrospective Studies; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000150:complications*; D055815:Young Adult