Yonsei Med J.  1987 Jun;28(2):119-125. 10.3349/ymj.1987.28.2.119.

Incidence and Clinical Significance of Deep Vein Thrombosis after Cementless Total Hip Replacement in Korean Patient Population

Affiliations
  • 1Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
  • 2Department of Radiology, Yonsei University College of Medicine, Seoul, Korea.
  • 3Senior Medical Student, Yonsei University College of Medicine, Seoul, Korea.

Abstract

We studied the incidence of deep vein thrombosis in the 110 Korean patients who had Porous Coated Anatomic (P.C.A.) cementless total hip replacement. The diagnosis of deep vein thrombosis was made by roentgenographic venography. The perfusion lung-scanning was done to make a diagnosis of pulmonary embolism. Our findings showed that there was an unusually low incidence (7 per cent) of deep vein thrombosis in our unprotected patient group. They also revealed that some factors that are believed to be relevant to thrombosis were conspicuously rare in this series. In view of this fact, we re-evaluated the so-called risk factors and came to a conclusion that some of them-such as advanced age, venous valve number; coagulation assay data, orthopedic diagnosis, preoperative limitation of mobility, hypertension and blood group-that have been claimed to be relevant in fact seem to be irrelevant to deep vein thrombosis.

Keyword

Incidence; deep vein thrombosis; cementless total hip replacement

MeSH Terms

Bone Cements
Female
Hip Prosthesis/adverse effects*
Human
Korea
Male
Middle Age
Risk
Thrombophlebitis/etiology*
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