Manfredi Victor Martins, Machado Matheus Bittencourt, Barbato Nícolas Giorgini, Takata Edmilson Takehiro, Dobashi Eiffel Tsuyoshi
Ifor Hospital, Institute of Fractures, Orthopedics and Rehabilitation, São Bernardo do Campo, SP, Brazil.
Federal University of São Paulo, São Paulo School of Medicine, São Paulo, SP, Brazil.
Acta Ortop Bras. 2021 Nov-Dec;29(6):293-296. doi: 10.1590/1413-785220212906243045.
To determine the efficacy of Deep Venous Thrombosis (DVT) prophylaxis protocol in patients undergoing total hip arthroplasty (THA), and to verify differences in the rates of this complication when comparing primary replacement surgeries with revision surgeries.
We conducted a retrospective study of patients operated between 2012 and 2018, with inclusion and non-inclusion criteria determined by the researchers. A protocol was created to compile data including 92 patients, amounting to 110 operated hips, divided by gender, age, laterality, among other criteria. For THA cases, low molecular weight heparin chemoprophylaxis was used, associated with the use of pneumatic and elastic compression, concomitant to deambulation as soon as possible. The detection of DVT was determined by clinical evaluation and imaging exams such as: simple radiographs, ultrasound, arterial and venous color doppler, and laboratory tests.
The use of the protocol was very effective in our study. Only one (1.09%) case of deep venous thrombosis was found.
The use of thromboprophylaxis for DVT is indispensable, as was clearly demonstrated by these cases. We observed only one (1.09%) case of DVT in our series.
确定全髋关节置换术（THA）患者深静脉血栓形成（DVT）预防方案的疗效，并比较初次置换手术与翻修手术时该并发症发生率的差异。
我们对2012年至2018年期间接受手术的患者进行了一项回顾性研究，纳入和排除标准由研究人员确定。制定了一个方案来收集数据，包括92名患者，共计110个手术髋关节，按性别、年龄、侧别等标准进行划分。对于THA病例，采用低分子量肝素化学预防，并结合使用气动和弹性压迫，同时尽快进行步行训练。DVT的检测通过临床评估和影像学检查确定，如：普通X线片、超声、动脉和静脉彩色多普勒以及实验室检查。
在我们的研究中，该方案的使用非常有效。仅发现1例（1.09%）深静脉血栓形成病例。
正如这些病例所清楚表明的，DVT的血栓预防措施不可或缺。在我们的系列研究中，仅观察到1例（1.09%）DVT病例。
