Albert Einstein College of Medicine, Department of Orthopaedic Surgery, Bronx, New York.
Plancher Orthopaedics and Sports Medicine, New York, New York.
JBJS Case Connect. 2020 Apr-Jun;10(2):e0514. doi: 10.2106/JBJS.CC.19.00514.
Deep vein thrombosis (DVT) after arthroscopy has been considered a rare event; however, recent studies using ultrasound and venography have shown that the incidence of DVTs is underestimated. CASES:: This report describes 3 patients with DVT and/or PE after knee arthroscopy who were attributed to a genetic predisposition of hypercoagulability unknown to the patient and surgeon. CONCLUSIONS:: Genetic predisposition and autoimmune antibodies may play a role in the development of DVT after knee arthroscopy. We recommend focused questions regarding family history be added to the standard DVT/PE preoperative questionnaire.
关节镜检查后深静脉血栓形成（DVT）一直被认为是一种罕见的事件；然而，最近使用超声和静脉造影的研究表明，DVT 的发生率被低估了。
本报告描述了 3 例膝关节镜检查后发生 DVT 和/或 PE 的患者，这些患者的血栓形成倾向归因于患者和外科医生未知的遗传性高凝状态。
遗传易感性和自身抗体可能在膝关节镜检查后 DVT 的发展中起作用。我们建议在标准的 DVT/PE 术前问卷中增加有关家族史的针对性问题。
