2004 Volume 15 Issue 4 Pages 295-301
The review of Japanese reports last ten years (1993-2002) showed that the incidence of proximal deep venous thrombosis after total hip replacement (THR), total knee replacement (TKR), and the surgery of hip fracture was more than 10% and the incidence of clinical pulmonary thromboembolism after the surgery of spine and lower extremity including THR, TKR, and the surgery of hip fracture was about 1%.
The risk level for thromboembolism after THR, TKR, and the surgery of hip fracture was thought to be high risk and that after the surgery of spine and lower extremity excluding THR, TKR, and the surgery of hip fracture was thought to be moderate risk.
Intermittent pneumatic compression or anticoagulation therapy was recommended after the surgeries of high risk group, and elastic stockings or intermittent pneumatic compression was recommended after the surgeries of moderate risk group. If the patients who were performed the surgeries of high risk group had thrombophilia or the history of thromboembolism, anticoagulation therapy should be recommended.
