Prevalence of Deep Vein Thrombosis and Pulmonary Embolism Treated with Mechanical Compression Device After Total Knee Arthroplasty in Asian Patients.
The purpose of this study was: (1) to determine the prevalence of deep vein thrombosis (DVT) after the use of a mechanical compression device only, without pharmacological thromboprophylaxis; (2) to investigate the factors associated with DVT; and (3) to investigate the natural course of DVT and PE. We reviewed consecutive series of 874 patients (1434 knees) who received treatment with a mechanical compression device only for prevention of DVT after primary TKA. The prevalence of DVT was 6.6% (94 of 1434 knees). Proximal thrombi were found in 6 of 1434 knees (0.4%). No patient had PE on perfusion lung scans. Further sonograms and venograms for the patients with thrombi at 6 months after the operation revealed that all thrombi were resolved.
The Joint Replacement Center, Ewha Womans University School of Medicine, Seoul, Republic of Korea.
Young-Hoo
YH
Kim
The Joint Replacement Center, Ewha Womans University School of Medicine, Seoul, Republic of Korea.
Sourabh S
SS
Kulkarni
The Joint Replacement Center, Ewha Womans University School of Medicine, Seoul, Republic of Korea.
Jang-Won
JW
Park
The Joint Replacement Center, Ewha Womans University School of Medicine, Seoul, Republic of Korea.
Jun-Shik
JS
Kim
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D044466:Asian People; D005260:Female; D006801:Humans; D048228:Intermittent Pneumatic Compression Devices; D007717:Knee / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D011183:Postoperative Complications / Q000453:epidemiology*; D011184:Postoperative Period; D015995:Prevalence; D011446:Prospective Studies; D011655:Pulmonary Embolism / Q000150:complications* / Q000453:epidemiology; D012307:Risk Factors; D020246:Venous Thrombosis / Q000150:complications* / Q000453:epidemiology
Asian patients; deep vein thrombosis; mechanical compression device; pulmonary embolism; total knee arthroplasty