抄録
Deep venous thrombosis (DVT) is one of the most common complications that occur after total hip (THA) and total knee arthroplasty (TKA). We investigated the incidence of DVT following THA or TKA arthroplasty on 10 hips in 10 patients and 10 knees in 10 patients in our institution from May 2003 to July 2004. The diagnosis of the DVT was made with ultra sonography, magnetic resonance angiography, and venography. Despite preoperative prophylaxis against thrombosis such as stocking and foot pomp, the incidence of DVT was three (30%) after THA and is seven (70%) after TKA. DVT was detected in more patients who had undergone TKA than THA. There were no cases of fatal thromboembolism. However there were 2 cases of proximal DVT, one after THA and one after TKA, in which intravenous filter placement was performed. These results suggest that the preoperative prophylactic measures used were insufficient to prevent DVT after arthroplasty. Therefore, it is important to reduce the risk factors in the post-surgical period especially following TKA.
