Document Detail


Clinical efficacy of mechanical thromboprophylaxis without anticoagulant drugs for elective hip surgery in an Asian population.
MedLine Citation:
PMID:  19577898     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To evaluate the clinical efficacy of mechanical thromboprophylaxis after elective hip surgery, we reviewed 3016 patients who underwent hip surgery at 5 centers. Primary total hip arthroplasty (THA), revision THA, and pelvic or femoral osteotomies were performed in 2648, 298, and 70 patients, respectively. Epidural anesthesia, intraoperative calf bandage, early mobilization, and intermittent pneumatic compression postoperatively with additional use of elastic stockings were the basic regimen for thromboprophylaxis. Postoperatively, no cases of fatal pulmonary embolism (PE) were encountered. One symptomatic PE and 4 symptomatic deep vein thrombosis cases were identified, all of which were successfully treated using heparin and warfarin. By 6 months, no deaths had occurred. We conclude that mechanical thromboprophylaxis without anticoagulant drugs is safe and effective for elective hip surgeries in our patient population.
Authors:
Nobuhiko Sugano; Hidenobu Miki; Nobuo Nakamura; Masaharu Aihara; Kengo Yamamoto; Kenji Ohzono
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Publication Detail:
Type:  Journal Article     Date:  2009-07-04
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  24     ISSN:  1532-8406     ISO Abbreviation:  J Arthroplasty     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-09     Completed Date:  2010-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1254-7     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Medical Engineering, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Anesthesia, Epidural
Anticoagulants / therapeutic use
Arthroplasty, Replacement, Hip / adverse effects*
Asian Continental Ancestry Group
Child
Early Ambulation
Female
Hip Joint / surgery
Humans
Intermittent Pneumatic Compression Devices
Male
Middle Aged
Osteotomy / adverse effects*
Reoperation / adverse effects
Retrospective Studies
Stockings, Compression
Surgical Procedures, Elective / adverse effects
Treatment Outcome
Venous Thrombosis / etiology,  prevention & control*
Young Adult
Chemical
Reg. No./Substance:
0/Anticoagulants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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