Alaia Michael J, Zuskov Andrey, Davidovitch Roy I
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York 10003, USA.
Orthopedics. 2011 Oct 5;34(10):e674-7. doi: 10.3928/01477447-20110826-29.
Since the 1980s, hip arthroscopy has become an accepted treatment modality for a variety of hip conditions. It is generally considered a low-risk procedure with a low rate of complications. The risk of developing a deep venous thrombosis (DVT) or venous thromboembolism following these procedures is also thought to be low, and most patients undergoing these procedures receive no pharmacologic prophylaxis postoperatively. This article presents a case of a 33-year-old woman with a history of oral contraceptive use who presented 13 days after a routine hip arthroscopy with pain and swelling in the contralateral thigh. Ultrasonography revealed acute DVTs in the left common femoral, superficial femoral, and popliteal veins. She was admitted to the hospital and treated accordingly. A workup for thrombophilic disorders was negative. We believe that her history of oral contraceptive use, the use of axial traction, and asymmetric forces about the pelvis during the procedure contributed to this postoperative complication. Although this complication is rare and the use of pharmacologic prophylaxis is not common, physicians must be aware of this potential complication following hip arthroscopy.
自20世纪80年代以来，髋关节镜检查已成为治疗多种髋关节疾病的一种公认的治疗方式。它通常被认为是一种低风险手术，并发症发生率较低。这些手术后发生深静脉血栓形成（DVT）或静脉血栓栓塞的风险也被认为较低，大多数接受这些手术的患者术后未接受药物预防。本文介绍了一名33岁有口服避孕药史的女性病例，她在常规髋关节镜检查13天后出现对侧大腿疼痛和肿胀。超声检查显示左股总静脉、股浅静脉和腘静脉急性血栓形成。她被收治入院并接受相应治疗。对血栓形成倾向疾病的检查结果为阴性。我们认为，她的口服避孕药史、术中使用轴向牵引以及骨盆周围不对称受力导致了这一术后并发症。尽管这种并发症很少见，药物预防的使用也不普遍，但医生必须意识到髋关节镜检查后存在这种潜在并发症。
