Pal Chandra Prakash, Goyal Amrit, Kumar Deepak, Shakunt Rajendra Kumar, Dinkar Karuna Shankar, Kumar Suneel
Assistant Professor and Head, Department of Orthopaedics, S.N. Medical College, Agra, Uttar Pradesh, India.
Lecturer, S.N. Medical College, Agra, Uttar Pradesh, India.
J Clin Orthop Trauma. 2016 Jan-Mar;7(1):30-3. doi: 10.1016/j.jcot.2015.06.001. Epub 2015 Sep 26.
To know the incidence of postoperative deep vein thrombosis after hip surgery in Indian patients.
Our study comprises 108 patients undergoing major lower limb orthopaedic surgery. Evaluation by colour Doppler ultrasonography to detect DVT was performed on both lower limbs between seventh and 14th postoperative day. There were 15 total hip replacements (THR), 50 bipolar hemiarthroplasties and 43 proximal femoral fixations by intra-/extra-medullary implant. Only 17 (15.74%) patients showed Colour Doppler evidence of DVT without any complication.
In THR patients, incidence of DVT is 20%; in bipolar hemiarthoplasty, it is 16%; and in the proximal femoral fixation, it is 13.95%. No case developed pulmonary embolism, and the current figure for the incidence of DVT is 15.74%.
From our study, it appears to be the difference in incidence of DVT in our country and in western countries, but incidence is not rare. Hence, chemoprophylaxis is necessary in Indian patients.
了解印度患者髋关节手术后深静脉血栓形成的发生率。
我们的研究包括108例行下肢大手术的患者。术后第7天至第14天对双下肢进行彩色多普勒超声检查以检测深静脉血栓形成。其中有15例全髋关节置换术（THR）、50例双极半髋关节置换术和43例采用髓内/髓外植入物的股骨近端固定术。仅17例（15.74%）患者出现彩色多普勒显示的深静脉血栓形成且无任何并发症。
全髋关节置换术患者中，深静脉血栓形成的发生率为20%；双极半髋关节置换术中为16%；股骨近端固定术中为13.95%。无病例发生肺栓塞，目前深静脉血栓形成的发生率为15.74%。
从我们的研究来看，我国与西方国家深静脉血栓形成的发生率似乎存在差异，但发生率并不低。因此，印度患者有必要进行化学预防。
