Incidence of Deep Vein Thrombosis in Major Orthopaedic Surgery
Keywords:Deep vein thrombosis, major lower limb surgery, thromboprophylaxis, venous thromboembolism
Background: Deep vein thrombosis (DVT) is defined as thrombosis of deep veins of the lower extremities. Incidence of DVT is high in orthopaedic cases, associated with morbidity and mortality and definite prophylactic guidelines have been formulated to prevent it.
Objective: This prospective study was conducted to see the incidence of DVT in our patients.
Methodology: This study was conducted in the Department of Orthopaedics at Chittagong Medical College Hospital, Chattogram, Bangladesh from May 2018 to April 2019. The reason of doing this study was to find the prevalence of DVT in periarticular hip and knee fractures and surgeries, Daily observation of the clinical signs of DVT was done post operatively until the subjects were discharged from the hospital. D-Dimer test and Doppler ultrasonography were carried out on day 2 and between days 4 and 7 after surgery.
Result: The overall prevalence of DVT in major surgeries of lower limb in this study as detected by Doppler ultrasonography was found to be in 10 patients.
Conclusion: Thromboprophylaxis should be given to patients undergoing major lower limb surgeries.
Journal of Science Foundation, July 2020;18(2):67-71