title: Risk of postoperative venous thromboembolism in Indian patients sustaining pelvi-acetabular injury.
abstract: Most surgeons believe that Asians have a low risk of developing venous thromboembolism (VTE) and routine thromboprophylaxis therapy is not required after major orthopaedic trauma. This study evaluates the postoperative risk of VTE in Indian patients sustaining pelvi-acetabular injury. Fifty-six patients with pelvi-acetabular injury, who underwent open reduction and internal fixation, were prospectively evaluated for VTE in the postoperative period. They were evaluated, both clinically and radiologically (pulmonary CT angiography and indirect venography of lower limb and pelvis veins), until six weeks after surgery. A total of 16 patients developed VTE, of which 12 had proximal deep vein thrombosis (DVT), ten had pulmonary embolism (PE) and only two had distal DVT. Six patients with proximal DVT had associated PE. The risk of development of VTE among Indian patients after pelvi-acetabular injury is high (28.6%) with increasing chances of proximal DVT and PE; hence, administration of routine thromboprophylaxis is fully justified in them.
authors.affiliation: Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India. senrameshpgi@yahoo.in
authors.forename: Ramesh Kumar
authors.initials: RK
authors.lastname: Sen
authors.forename: Amit
authors.initials: A
authors.lastname: Kumar
authors.forename: Sujit Kumar
authors.initials: SK
authors.lastname: Tripathy
authors.forename: Sameer
authors.initials: S
authors.lastname: Aggarwal
authors.forename: N
authors.initials: N
authors.lastname: Khandelwal
authors.forename: Sakthivel R R
authors.initials: SR
authors.lastname: Manoharan
mesh_terms: D000077:Acetabulum / Q000000981:diagnostic imaging / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D015897:Comorbidity; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D006620:Hip Fractures / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D011655:Pulmonary Embolism / Q000453:epidemiology / Q000209:etiology / Q000473:pathology*; D011859:Radiography; D012307:Risk Factors; D014193:Trauma Centers; D020246:Venous Thrombosis / Q000453:epidemiology / Q000209:etiology / Q000473:pathology*; D055815:Young Adult