J Korean Orthop Assoc.  2002 Oct;37(5):577-581.

Color Doppler Sonography Surveillance for Deep Vein Thrombosis after Hip Replacement Surgery

• Kim SY
• Kim SJ
• Baek JH
• Park IH
• Park BC
• Kim TH

Abstract

PURPOSE: The purpose of this study was to validate the value of Duplex Color Doppler Ultrasonography (DDU) in post-operative deepvein thrombosis (DVT) after hip replacement surgery.
MATERIALS AND METHODS
From September 1998 to June 2000, 138 cases (130 patients) were eligible for a minimal one-year follow-up.DDU was carried out between the 7th and 10th postoperative in all cases, patients wore a compressive stocking on the lower extremity.
RESULTS
DVT occurred in five cases (4%), four cases occurred at 10th postoperative day and one case was occurred after one month. DVT occurred in the femoral vein in all cases. Three cases had clinical symptoms such as pain and localized edema. However, no case complained of systemic pulmonary symptoms.
CONCLUSION
The incidence of DVT obtained from DDU after replacement hip surgery was very low (4%) with early mobilization and acompressive stocking. No case of DVT progressed to symptomatic pulmonary embolism. DDU was valuable for detecting DVT in the proximal thigh as a screening test.

Keyword

Hip replacement surgery; Deep vein thrombosis; Duplex doppler ultrasonography

MeSH Terms

Early Ambulation
Edema
Femoral Vein
Hip*
Humans
Incidence
Lower Extremity
Mass Screening
Pulmonary Embolism
Thigh
Thrombosis
Ultrasonography, Doppler, Color
Ultrasonography, Doppler, Duplex
Venous Thrombosis*