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Yamanaka Y, Ito H. Incidence of Venous Thromboembolism in Patients Undergoing Major Hip Surgeries at a Single Institution: A Prospective Study. Open Orthop J. 2016;10:252-7doi: 10.2174/1874325001610010252.
Yamanaka, Y., & Ito, H. (2016). Incidence of Venous Thromboembolism in Patients Undergoing Major Hip Surgeries at a Single Institution: A Prospective Study. The open orthopaedics journal, 10252-7. https://doi.org/10.2174/1874325001610010252
Yamanaka, Yasuhiro, and Ito, Hiroshi. "Incidence of Venous Thromboembolism in Patients Undergoing Major Hip Surgeries at a Single Institution: A Prospective Study." The open orthopaedics journal vol. 10 (2016): 252-7. doi: https://doi.org/10.2174/1874325001610010252
Yamanaka Y, Ito H. Incidence of Venous Thromboembolism in Patients Undergoing Major Hip Surgeries at a Single Institution: A Prospective Study. Open Orthop J. 2016 Jul 15;10:252-7. doi: 10.2174/1874325001610010252. eCollection 2016. PMID: 27499823; PMCID: PMC4951781.
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Open Orthop J. 2016 Jul 15;10:252-7. doi: 10.2174/1874325001610010252. eCollection 2016.

Incidence of Venous Thromboembolism in Patients Undergoing Major Hip Surgeries at a Single Institution: A Prospective Study.

The open orthopaedics journal

Yasuhiro Yamanaka, Hiroshi Ito

Affiliations

  1. Department of Orthopedic Surgery, Sapporo City General Hospital, Sapporo, Japan.
  2. Department of Orthopedic Surgery, Asahikawa Medical University, Asahikawa, Japan.

PMID: 27499823 PMCID: PMC4951781 DOI: 10.2174/1874325001610010252

Abstract

BACKGROUND: Venous thoromboembolism (VTE) is one of the most significant complications after hip surgeries. Many studies have been reported about the incidence of VTE after THA, but a small number of reports were found concerning Periacetabular osteotomy, Revision THA and Surgery for hip fracture postoperatively. Furthermore, there exists no comparative study of the incidence of VTE among major hip surgeries at a single institution. We reported the incidence of VTE among hip surgeries performed at a single institution.

METHODS: A total of 820 Hip surgeries were performed at same institution. The procedures included 420 hips that underwent primary total hip arthroplasties (THA), 91 revision or removal of total hip arthroplasties (Revision THA), 144 periacetabular osteotomy (PAO) and 165 surgery for hip fracture (SHF) between 2006 and 2012. VTE was detected by Multidetector computed tomography (MDCT) that scanned 768 cases and by ultrasound that scanned 52cases postoperative 10-14 days.

RESULTS: The overall incidence of VTE was 12.2% (100 of 820). The incidence of VTE after THA was 13.1% (55 of 420), Revision THA was 13.2% (12 of 91), PAO was 2.1% (3 of 144) and SHF was 18.1% (30 of 165). The incidence of VTE was significantly higher in SHF than in PAO.

CONCLUSION: This data indicates that the incidence of VTE after PAO is significantly lower than SHF and relatively lower than THA and Revision THA. A younger age and non-invasion of the bone marrow of the femur may have affected the result. Prophylaxis therapy was effective especially on SHF.

Keywords: Contrast computed tomography; Periacetabular osteotomy; Prophylaxis therapy; Revision total hip arthroplasty; Surgery for hip fracture; Total hip arthroplasty; Venous thromboembolism

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