Thromboembolic disease in patients undergoing total knee replacement

McKenna, Rajalaxmi; Bachmann, Fédor; Kaushal, S. P.; Jo, Galante

doi:10.2106/00004623-197658070-00006

Cited by 112 publications

(41 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…12,14,23,24 In these studies, the incidence of DVT was even higher in those patients who were given no prophylactic treatment. Our data, however, support those of others 8,9 who have reported an incidence of 25% and 32%, respectively, of DVT after cemented or cementless TKR in patients who had not received any thromboprophylaxis.…”

Section: Discussionmentioning

confidence: 84%

“…Routine postoperative venography has shown an incidence of isolated calf thrombi of between 23.8% and 60% and of proximal thrombi berween 3% and 20%. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] Since pulmonary embolism is one of the most feared complications, the recognition of deep-vein thrombosis (DVT) in the lower limb has been considered to be an absolute indication for anticoagulation. 4,6,[15][16][17] Not all deep-venous thrombi, however,…”

mentioning

confidence: 99%

See 1 more Smart Citation

Incidence and natural history of deep-vein thrombosis after total knee arthroplasty

Kim¹,

Kim²

2002

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

W e have evaluated prospectively the incidence and location of deep-vein thrombosis (DVT), the risk factors for pulmonary embolism, and the natural history of thrombosis after total knee replacement (TKR) in patients who did not receive prophylactic or therapeutic treatment for DVT.We studied 227 patients who underwent primary TKR; 116 had one-stage bilateral and 111 unilateral procedures. Coagulation assays, the full blood count and blood typing tests for the serum chemical profile were undertaken in all patients on three separate occasions. Bilateral simultaneous or unilateral venograms were carried out at six or seven days after operation. Perfusion lung scanning was undertaken before and at seven or eight days after operation. Bilateral simultaneous or unilateral venograms were repeated six months after operation in all patients who had thrombi.In Thromboembolic disease is a potentially serious complication of total knee replacement (TKR). Routine postoperative venography has shown an incidence of isolated calf thrombi of between 23.8% and 60% and of proximal thrombi berween 3% and 20%.

show abstract

Section: Discussionmentioning

confidence: 84%

mentioning

confidence: 99%

Incidence and natural history of deep-vein thrombosis after total knee arthroplasty

Kim¹,

Kim²

2002

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

show abstract

“…Shiota et al 7 also noted this difference but only on day 1 postoperatively. It has been suggested by McKenna et al 13 that the local mechanical effect of the tourniquet and resultant ischaemia during TKR may be responsible.…”

Section: Discussionmentioning

confidence: 99%

D-Dimer in the Diagnosis of Deep Vein Thrombosis Following Total Hip and Knee Replacement: A Prospective Study

Rafee

Herlikar

Gilbert

et al. 2008

annals

View full text Add to dashboard Cite

INTRODUCTIONThe merit of using D-dimer estimations in patients following total hip and knee replacement has been previously questioned. A survey of radiology protocols in 70 hospitals ascertained that the test continues to be mandatory in 51 prior to formal radiological investigation of suspected deep vein thrombosis (DVT) in this patient population.PATIENTS AND METHODS In this study, D-dimer levels were measured pre-operatively and during the first 7 days following primary total hip and knee replacement to estimate the range of normal values in these patients. RESULTS All 78 patients were ultrasonographically shown to be clear of DVT. D-Dimer levels were significantly raised in all patients at all measurements during the first week. Levels after total knee replacement were higher than after total hip replacement. Comparison was made with an age-matched group who had a proven DVT. There was no difference in D-dimer levels between patients with or without a DVT. CONCLUSIONS The use of this test in this patient group is a waste of resource and merely delays appropriate radiological investigation and treatment.

show abstract

“…The incidence of deep venous thrombosis associated with knee arthroplasty is about 50 percent without prophylactic treatment (McKenna et al 1976, Lotke et al 1984, Stulberg et al 1984, Lynch et al 1988, Stringer et al 1989. Unlike morphine, regional local anesthetics produce a hyperkinetic lower limb circulation, and both spinal and epidural regional anesthesia reduce the incidence of thrombosis and pulmonary embolism following hip surgery (Davis et al 1980, Thorbum et al 1980, Davis et al 1989).…”

Section: Lower Thrombosis Risk With Epidural Blockade In Knee Arthropmentioning

confidence: 99%

Lower thrombosis risk with epidural blockade in knee arthroplasty

Nielsen¹,

Jørgensen²,

Albrecht‐Beste³

et al. 1990

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

Thromboembolic disease in patients undergoing total knee replacement

Cited by 112 publications

References 0 publications

Incidence and natural history of deep-vein thrombosis after total knee arthroplasty

Incidence and natural history of deep-vein thrombosis after total knee arthroplasty

D-Dimer in the Diagnosis of Deep Vein Thrombosis Following Total Hip and Knee Replacement: A Prospective Study

Lower thrombosis risk with epidural blockade in knee arthroplasty

Contact Info

Product

Resources

About