Risk of postoperative venous thromboembolism in Indian patients sustaining pelvi-acetabular injury.

International Orthopaedics
Ramesh Kumar SenSakthivel R R Manoharan

Abstract

Most surgeons believe that Asians have a low risk of developing venous thromboembolism (VTE) and routine thromboprophylaxis therapy is not required after major orthopaedic trauma. This study evaluates the postoperative risk of VTE in Indian patients sustaining pelvi-acetabular injury. Fifty-six patients with pelvi-acetabular injury, who underwent open reduction and internal fixation, were prospectively evaluated for VTE in the postoperative period. They were evaluated, both clinically and radiologically (pulmonary CT angiography and indirect venography of lower limb and pelvis veins), until six weeks after surgery. A total of 16 patients developed VTE, of which 12 had proximal deep vein thrombosis (DVT), ten had pulmonary embolism (PE) and only two had distal DVT. Six patients with proximal DVT had associated PE. The risk of development of VTE among Indian patients after pelvi-acetabular injury is high (28.6%) with increasing chances of proximal DVT and PE; hence, administration of routine thromboprophylaxis is fully justified in them.

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Citations

Jan 5, 2012·International Orthopaedics·Ljiljana Markovic-DenicMarko Bumbasirevic
Mar 15, 2014·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Joon-Woo KimWoo-Kie Min
Aug 28, 2015·The Open Orthopaedics Journal·Francisco Chana-RodríguezJavier Vaquero-Martín
Apr 25, 2019·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Pengfei WangKun Zhang
Sep 30, 2020·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Li JiahaoWang Pengfei
Nov 17, 2020·Journal of Clinical Orthopaedics and Trauma·Sameer AggarwalDr Karan Jindal
Nov 17, 2020·Journal of Clinical Orthopaedics and Trauma·Vishal VermaSuresh Sharma

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