Prevalence of deep vein thrombosis and pulmonary embolism treated with mechanical compression device after total hip arthroplasty

Young Hoo Kim, Sourabh S. Kulkarni, Jang Won Park, Bom Sahn Kim

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Several reports have suggested that there is a strikingly low prevalence of deep vein thrombosis (DVT) and pulmonary embolism (PE) after total hip arthroplasty (THA) in Asian patients. We determined the prevalence of DVT and PE after the use of a mechanical compression device only without pharmacological thromboprophylaxis in 459 patients (516 hips). The overall prevalence of DVT was 4.8% (27 of 561 hips). Nine of 27 hips had proximal thrombi. Three patients (0.7%) had asymptomatic PE. In our patients, combinations of absent thrombophilic polymorphisms with low clinical prothrombotic risk factors led to a low prevalence of DVT and virtually no symptomatic PE. Therefore, mechanical compression device only suffices to prevent DVT and PE in Asian patients.

Original languageEnglish
Pages (from-to)675-680
Number of pages6
JournalJournal of Arthroplasty
Volume30
Issue number4
DOIs
StatePublished - 1 Apr 2015

Keywords

  • Deep vein thrombosis
  • Mechanical compression device only
  • Pulmonary embolism
  • Total hip arthroplasty

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