Incidences of Deep Vein Thrombosis and Pulmonary Embolism after Total Knee Arthroplasty Using a Mechanical Compression Device with and without Low-Molecular-Weight HeparinIncidences of Deep Vein Thrombosis and Pulmonary Embolism after Total Knee Arthroplasty Using a Mechanical Compression Device with and without Low-Molecular-Weight Heparin
- Other Titles
- Incidences of Deep Vein Thrombosis and Pulmonary Embolism after Total Knee Arthroplasty Using a Mechanical Compression Device with and without Low-Molecular-Weight Heparin
- Authors
- 박신형; 안중현; 박용복; 이선근; 임수재
- Issue Date
- 2016
- Publisher
- 대한슬관절학회
- Keywords
- Knee; arthroplasty; thromboembolism; prophylaxis; Mechanical; intermittent pneumatic compression device
- Citation
- Knee Surgery and Related Research, v.28, no.3, pp 213 - 218
- Pages
- 6
- Journal Title
- Knee Surgery and Related Research
- Volume
- 28
- Number
- 3
- Start Page
- 213
- End Page
- 218
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/9678
- ISSN
- 1225-1623
2234-2451
- Abstract
- purpose: To investigate the incidence of thromboembolic events and complications related to bleeding after total knee arthroplasty (TKA) with a mechanical compression device alone or in combination with low-molecular-weight heparin (LMWH).Materials and Methods: A total of 489 TKA patients (776 knees) were retrospectively reviewed for the incidence of thromboembolic events and complications related to bleeding. While 233 patients (354 knees) were treated with a mechanical compressive device without LMWH, 256 patients (422 knees) were treated with the mechanical compressive device along with LMWH. results: The incidences of deep vein thrombosis (DVT) and pulmonary embolism (PE) were 15 of 375 knees (4.0%) and 5 of 375 knees (1.3%), respectively, in the group that used only a mechanical compressive device, and 14 of 401 knees (3.4%) and 5 of 401 knees (1.2%), respectively, in the group that used the mechanical compressive device with LMWH. There was no significant difference between the two groups (p=0.125 and p=0.146, respectively). The postoperative hemovac drainage amount was 635±57 mL in the group with a mechanical compressive device only and 813±84 mL in the group with the device and LMWH; therefore, the amount of drainage was significantly greater in the latter group (p=0.013).conclusions: Mechanical compression alone for prophylaxis against DVT and PE after TKA can be an attractive option in Korean patients.
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Collections - College of Medicine > Department of Orthopedic Surgery > 1. Journal Articles
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