J Korean Orthop Assoc.  2008 Jun;43(3):294-300. 10.4055/jkoa.2008.43.3.294.

Diagnosis of the Deep Vein Thrombosis with Multidetector-Row Computed Tomographic Venography after Total Knee Arthroplasty

• Song EK
• Seon JK
• Park SJ
• Cho SB
• Choi MS

• KMID: 2186444
• DOI: http://doi.org/10.4055/jkoa.2008.43.3.294

Abstract

PURPOSE: Using the 64-channel multidetector-row computed tomographic venography (MDCT venography), we tried to know the incidence of the deep vein thrombosis (DVT) after total knee arthroplasty and the effectiveness of MDCT venography.
MATERIALS AND METHODS
From April 2006 to December 2006, two groups of 280 consecutive patients, who underwent primary total knee arthroplasty, were enrolled in this study. We performed antithrombotic chemotherapy on the patients who were confirmed to have symptomatic DVT.
RESULTS
For the first 140 consecutive cases, DVT was found in 48 (34%) patients and only 5 (3.6%) showed clinical symptoms of DVT. For the next 140 cases, 12 (8.6%) cases showed symptoms of DVT and in them 7 (5.0%) of these cases was diagnosed with symptomatic DVT. All the patients had recovered at the last follow-up and no other complications occurred in our series.
CONCLUSION
Sixty four-channel MDCT venography is valuable as a diagnostic test for DVT after total knee arthroplasty in terms of efficacy and accuracy. Antithrombotic chemotherapy is recommended

Keyword

Total knee arthroplasty; Deep vein thrombosis; MDCT venography

MeSH Terms

Arthroplasty
Diagnostic Tests, Routine
Follow-Up Studies
Humans
Incidence
Knee
Phlebography
Venous Thrombosis

Figure

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  Fig. 1 A 64-year old woman, who underwent total knee arthroplasty on her right knee, was diagnosed with deep vein thrombosis in the popliteal area by multidetector-row computed tomographic venography.

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