Roberts David J S, Panagiotidou Anna, Sewell Matthew, Calder Peter, Goodier David
London North West Healthcare NHS Trust, Harrow, UK.
UCL Institute of Biomedical Engineering, London, UK.
Strategies Trauma Limb Reconstr. 2015 Aug;10(2):67-71. doi: 10.1007/s11751-015-0219-1. Epub 2015 Apr 22.
Little evidence exists about the incidence of deep vein thrombosis (DVT) and pulmonary embolism (PE) with the use of external fixators. We investigated this in a cohort of 207 consecutive patients undergoing 258 elective frame applications by case note review. Case notes were obtained for 84 % of the sample population. The type of surgery, demographic data, thromboembolic risk factors and the incidence of DVT/PE were recorded. One patient experienced DVT (0.39 %) and one a PE (0.39 %). Both were of high risk and had received mechanical and chemical thromboprophylaxis during their inpatient stay. These complications were identified at least 3 months post-operatively. These findings help to more accurately counsel patients undergoing elective frame surgery on the risks of DVT/PE and also contribute to the discussion between surgeons about whether or not extended course chemical thromboprophylaxis would be of overall benefit.
关于使用外固定器时深静脉血栓形成（DVT）和肺栓塞（PE）的发生率，几乎没有相关证据。我们通过病例记录回顾，对连续207例接受258次择期外固定架应用手术的患者进行了调查。获得了样本人群中84%的病例记录。记录了手术类型、人口统计学数据、血栓栓塞危险因素以及DVT/PE的发生率。一名患者发生了DVT（0.39%），一名发生了PE（0.39%）。两人均为高风险患者，住院期间均接受了机械和化学性血栓预防措施。这些并发症在术后至少3个月才被发现。这些发现有助于更准确地向接受择期外固定架手术的患者提供关于DVT/PE风险的咨询，也有助于外科医生讨论延长化学性血栓预防疗程是否总体有益。
