Deep Venous Thrombosis and Pulmonary Embolism are Uncommon in East Asian Patients after Total Hip Arthroplasty

Kang, Bun Jung; Lee, Yong Seuk; Kim, Hee Joong; Ha, Yong‐Chan; Koo, Kyung‐Hoi

doi:10.1007/s11999-011-1979-7

Cited by 28 publications

(27 citation statements)

References 33 publications

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“…27,28 It has been believed that the incidence of DVT after THA and TKA is lower in Asian populations as compared to Western populations. [29][30][31] However, recent multi-centric prospective studies conducted in Asia have shown the occurrence of VTE after major orthopedic surgeries, including THA and TKA, in comparison with Western populations. [32][33][34][35][36] Incidences of clinically relevant symptomatic VTE after hip and knee arthroplasty have also been reported in East Asian populations.…”

Section: Discussionmentioning

confidence: 99%

“…[32][33][34][35][36] Incidences of clinically relevant symptomatic VTE after hip and knee arthroplasty have also been reported in East Asian populations. 30,31 In a systemic review and meta-analysis, Kanchanabat et al 5 examined the incidence of VTE after orthopedic surgery in Asian patients without thromboprophylaxis and found very low incidence of proximal and symptomatic DVT as compared to Western populations, and no patient died of DVT. 35 Interracial differences, genetic factors, and a Western lifestyle may affect the occurrence of DVT.…”

Section: Discussionmentioning

confidence: 99%

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Venous thromboembolism incidence in unilateral versus bilateral total knee joint replacement

Nwihadh¹,

Harbi²,

Shebly³

et al. 2018

MOJOR

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Background: The commonest joint replacement performed around the world as well as in Prince Sultan Military Medical City (PSMMC) in Riyadh, Saudi Arabia, is total knee joint replacement (TKR). Bilateral TK requires single anesthesia, short hospital stay, single rehabilitation, and is cost-effective. However, some post-TKR risks have been reported. Objective: To determine the incidence of venous thromboembolism (VTE) associated with bilateral TKR. Methods: This was a retrospective study conducted at the Department of Orthopedic Surgery in PSMMC. Data on arthroplasties performed during June 2012 until June 2014 were retrieved. A total of 181 patients who had undergone TKR (unilateral = 94; bilateral = 87) for knee arthritis were included in the study. The patients had undergone primary total knee arthroplasty (TKA) using a mechanical compressive device and had received pharmaceutical prophylaxis. Color Doppler ultrasonography was performed for the bilateral common femoral veins, superficial veins, popliteal veins, and calf veins by a skilled radiologist for all symptomatic (VTE symptoms) patients. Lower-extremity venography dynamic computed tomography was performed for patients suspected of deep vein thrombosis (DVT) or pulmonary embolism (PE). Results: A total of 181 patients had TKR. Of these patients, 84 (46.41%) were male and 97 (53.59%) were female. VTE was diagnosed in 4 patients (2.21%) only. A preoperative anticoagulant was given to 58 patients (32.04%) only. The mean age of the 4 patients diagnosed with VTE was 73.5±7.93 years. Among these patients, 2 (50%) were male and 2 (50%) were female. Only 1 patient (25%) underwent unilateral TKR and the remaining 3 patients (75%) underwent bilateral TKR. Regarding type of VTE, 2 patients (50%) had PE, 1 patient (25%) had massive PE, and 1 patient (25%) had DVT. Conclusion: Our study demonstrates a low frequency of VTE after TKR in patients with and without chemoprophylaxis. Even so, orthopedic surgeons should carefully consider the risk factors of VTE before performing major orthopedic surgeries and should remain aware of the possibility of the development of DVT after surgery in high-risk patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Venous thromboembolism incidence in unilateral versus bilateral total knee joint replacement

Nwihadh¹,

Harbi²,

Shebly³

et al. 2018

MOJOR

View full text Add to dashboard Cite

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“…In addition, we did not use routine chemical thromboprophylaxis, which has been considered as a risk of PJI28). Although several studies recommended the use of chemical thromboprophylaxis after THA, we did not do so as venous thromboembolism is uncommon in East Asian patients after THA2930).…”

Section: Discussionmentioning

confidence: 99%

Lower Urinary Tract Infection and Periprosthetic Joint Infection after Elective Primary Total Hip Arthroplasty

2017

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PurposePeriprosthetic joint infection (PJI) after total hip arthroplasty (THA) is a grave complication. Urinary tract infection (UTI) as a source for PJI is controversial. Our purposes were, (1) to evaluate the incidence of PJI after elective primary THA and (2) to determine whether UTI was associated with a risk of PJI after elective primary THA.Materials and MethodsWe retrospectively reviewed the medical records of 527 patients who underwent elective primary THA by using universal aseptic technique from May 2003 to October 2007. UTI group (13 patients) was defined as patients who underwent THA in status of having an UTI, and the remaining patients were defined as control group (514 patients). We compared the incidence of PJI in both groups.ResultsDuring the study period, the incidence of PJI was 0%, regardless of existence (or presence) of UTI.ConclusionThere was no significant association between UTI and PJI, when cautiously performed THA.

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“…However, in this study, hospital stay was prolonged in VTE patients (26.3±17.1 vs. 37.7±15.4, p =0.012). After surgery, delayed mobilization, a well-known risk factor for VTE,23-26 might be the reason for the pronged hospital stay and increased risk of VTE occurrence in these patients. In addition, titration of oral warfarin might be necessary in patients with symptomatic VTE before discharge.…”

Section: Discussionmentioning

confidence: 99%

Does Venous Thromboembolism Affect Rehabilitation after Hip Fracture Surgery?

Lee

Choi

et al. 2013

Yonsei Med J

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PurposeVenous thromboembolism (VTE), including deep vein thrombosis and pulmonary embolism, is a serious and life-threatening complication in elderly (older than 65 years) patients undergoing hip fracture surgery (HFS). However, few have reported on the influences of VTE on postoperative rehabilitation in these patients. This study was performed to determine whether VTE affects clinical outcomes in patients who underwent HFS.Materials and MethodsWe retrospectively evaluated 330 HFSs in 325 consecutive patients, which were performed from January 2009 to June 2010. From chart review, we identified 15 patients with symptomatic VTE. We compared Geriatric depression scale, Modified Barthel index and Berg balance scale scores as well as 10 meter gait speed at discharge and hospital stay between a symptomatic VTE group and a non-VTE group.ResultsNo significant difference in clinical outcomes at discharge between the two groups was found, although hospital stay was longer in patients with symptomatic VTE (p=0.012).ConclusionEast Asian patients have a low incidence of symptomatic VTE after HFS, and the clinical outcomes of patients with symptomatic VTE were similar to patients without VTE, although there was a longer rehabilitation period.

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Deep Venous Thrombosis and Pulmonary Embolism are Uncommon in East Asian Patients after Total Hip Arthroplasty

Cited by 28 publications

References 33 publications

Venous thromboembolism incidence in unilateral versus bilateral total knee joint replacement

Venous thromboembolism incidence in unilateral versus bilateral total knee joint replacement

Lower Urinary Tract Infection and Periprosthetic Joint Infection after Elective Primary Total Hip Arthroplasty

Does Venous Thromboembolism Affect Rehabilitation after Hip Fracture Surgery?

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