The Journal of the Chugoku-Shikoku Orthopaedic Association
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
Detection of Deep Vein Thrombosis and the Change of Coagulative and Fibrinolytic Laboratory Data after Total Hip or Total Knee Arthroplasty
Naofumi SHIOTATouru SATOMasatsugu MATSUOEiji NAKATAMitsuru KAJITANIHajime INOUE
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2000 Volume 12 Issue 2 Pages 277-281

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Abstract
As a result of our reserch, we have found that deep vein thrombosis (DVT) is the main cause of pulmonary embolism, leading to post-operative sudden death after total hip arthroplasty (THA) or total knee arthroplasty (TKA). During our reserch, we reviewed 32 patients of which 25 had THA and 7 had TKA. We then performed a preand post-operative venography. Laboratory data, including PT, APTT, FDP, D-dimer and AT-III was checked at pre- and post-operative stages on the 1st, 3rd, 7th, 10th, 14th, 21st days. We detected 8 positive cases of DVT (32.0%) after THA and 4 (57.1%) after TKA. There was no difference PT, APTT, FDP and AT-III between positive and negative cases of DVT. However, we found that D-dimer was significantly higher in the group of positive DVT than in the negative group (p<0.01).
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