Department of Orthopedics, Changshu Hospital Affiliated to Nanjing University of Chinese Medicine, Changshu, Jiangsu, China.
Department of Orthopedics, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, China.
Clin Appl Thromb Hemost. 2021 Jan-Dec;27:10760296211030556. doi: 10.1177/10760296211030556.
We evaluated the risk factors of deep venous thrombosis (DVT) after knee arthroscopic posterior cruciate ligament (PCL) reconstruction in patients with only PCL injury. From August 2014 to December 2020, a total of 172 patients who had accepted knee arthroscopic PCL reconstruction underwent the color Doppler ultrasound of bilateral lower-extremities deep veins on 3 days postoperatively. Based on the inspection results, patients were divided into DVT group (18 males and 8 females, mean age 43.62 years) and non-DVT group (108 males and 38 females, mean age 33.96 years). The potential associations of DVT risk and age, gender, body mass index (BMI), diabetes, hypertension, smoking and other factors were analyzed. An old age (OR = 1.090; 95% CI = 1.025-1.158; = 0.006), a high BMI (OR = 1.509; 95% CI = 1.181-1.929; = 0.001) and an increased post-surgery D-dimer (OR = 5.034; 95% CI = 2.091-12,117; ≤ 0.001) value were significantly associated with an elevated DVT risk after knee arthroscopic PCL reconstruction. Increased age, BMI, and postoperative D-dimer were risk factors of DVT following knee arthroscopic PCL reconstruction in patients with only PCL injury.
我们评估了仅 PCL 损伤患者膝关节镜后交叉韧带(PCL)重建后深静脉血栓形成(DVT)的危险因素。2014 年 8 月至 2020 年 12 月,共 172 例接受膝关节镜 PCL 重建的患者在术后 3 天行双侧下肢深静脉彩色多普勒超声检查。根据检查结果,患者分为 DVT 组(18 名男性和 8 名女性,平均年龄 43.62 岁)和非 DVT 组(108 名男性和 38 名女性,平均年龄 33.96 岁)。分析 DVT 风险与年龄、性别、体重指数(BMI)、糖尿病、高血压、吸烟等因素的潜在相关性。高龄(OR=1.090;95%CI=1.025-1.158;P=0.006)、高 BMI(OR=1.509;95%CI=1.181-1.929;P=0.001)和术后 D-二聚体(OR=5.034;95%CI=2.091-12.117;P≤0.001)升高与膝关节镜 PCL 重建后 DVT 风险增加显著相关。年龄、BMI 和术后 D-二聚体升高是仅 PCL 损伤患者膝关节镜 PCL 重建后 DVT 的危险因素。