Document Detail


Outcome of calf deep-vein thrombosis after total knee arthroplasty.
MedLine Citation:
PMID:  12931802     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigated the outcome of deep-vein thrombosis (DVT) in the calf after total knee arthroplasty (TKA) in 48 patients (45 women and three men) by clinical assessment and venographic study between three and four years after surgery. The mean age of the patients was 67.2 +/- 7.7 years (52 to 85) and the mean follow-up was 42.6 +/- 2.7 months (38 to 48). The diagnosis was osteoarthritis in 47 patients and rheumatoid arthritis in one patient. There were 44 calf thrombi, four popliteal thrombi but no thrombi in the femoral or iliac regions. Of the 48 patients, 24 were clinically symptomatic and 24 were asymptomatic. Clinical examination was carried out on 41 patients, of whom 37 underwent ascending venography. Seven were evaluated by telephone interview. No patient had the symptoms or signs of recurrent DVT, venous insufficiency in the affected leg, or a history of pulmonary embolism. No patient had been treated for complications of their DVT. Thirty-six of the 37 venographic studies were negative for either old or new DVT in the affected leg. One patient had residual thrombi in the muscular branches of the veins. Our study shows that deep-vein thromboses in the calf after TKA disappear spontaneously with time. No patient developed a recurrent DVT, proximal propagation or embolisation. Treatment of DVT in the calf after TKA should be based on the severity of the symptoms during the immediate postoperative period.
Authors:
C J Wang; J W Wang; L H Weng; C C Hsu; C F Lo
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  85     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-08-22     Completed Date:  2003-09-25     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  841-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, Niao-Sung Hsiang, Kaohsiung, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee*
Female
Follow-Up Studies
Humans
Leg / blood supply*
Male
Middle Aged
Osteoarthritis, Knee / complications,  radiography,  surgery
Phlebography
Postoperative Complications / etiology*
Prognosis
Recurrence
Remission, Spontaneous
Venous Thrombosis / etiology*,  radiography

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