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. 2021 Nov-Dec;29(6):293-296.
doi: 10.1590/1413-785220212906243045.

EFFECTIVENESS OF DEEP VENOUS THROMBOSIS PREVENTION IN TOTAL HIP ARTHROPLASTY

Victor Martins Manfredi  1 , Matheus Bittencourt Machado  1 , Nícolas Giorgini Barbato  1 , Edmilson Takehiro Takata  1   2 , Eiffel Tsuyoshi Dobashi  1   2
Affiliations

EFFECTIVENESS OF DEEP VENOUS THROMBOSIS PREVENTION IN TOTAL HIP ARTHROPLASTY

Victor Martins Manfredi et al. Acta Ortop Bras. 2021 Nov-Dec.

Abstract
in English, Portuguese

Objective: To determine the efficacy of Deep Venous Thrombosis (DVT) prophylaxis protocol in patients undergoing total hip arthroplasty (THA), and to verify differences in the rates of this complication when comparing primary replacement surgeries with revision surgeries.

Methods: We conducted a retrospective study of patients operated between 2012 and 2018, with inclusion and non-inclusion criteria determined by the researchers. A protocol was created to compile data including 92 patients, amounting to 110 operated hips, divided by gender, age, laterality, among other criteria. For THA cases, low molecular weight heparin chemoprophylaxis was used, associated with the use of pneumatic and elastic compression, concomitant to deambulation as soon as possible. The detection of DVT was determined by clinical evaluation and imaging exams such as: simple radiographs, ultrasound, arterial and venous color doppler, and laboratory tests.

Results: The use of the protocol was very effective in our study. Only one (1.09%) case of deep venous thrombosis was found.

Conclusion: The use of thromboprophylaxis for DVT is indispensable, as was clearly demonstrated by these cases. We observed only one (1.09%) case of DVT in our series. Level of Evidence III, Retrospective Study.

Objetivo: Determinar a eficácia de protocolo de profilaxia contra a Trombose Venosa Profunda (TVP) em pacientes submetidos à artroplastia total do quadril (ATQ) e verificar diferenças nas taxas desta complicação ao comparar as cirurgias de substituição primária com as de revisão.

Métodos: Realizamos um estudo retrospectivo de pacientes operados entre 2012 e 2018, com critérios de inclusão e não inclusão determinados pelos pesquisadores. Foi criado um protocolo para a compilação de dados no qual foram incluídos 92 pacientes, estes com 110 quadris operados divididos por sexo, idade, lateralidade, entre outros critérios. Para os casos de ATQ, utilizamos a quimioprofilaxia com heparina de baixo peso molecular associada ao uso de compressão pneumática e elástica, concomitante à deambulação assim que possível. A detecção da TVP foi determinada pela avaliação clínica e por exames de imagem como: radiografias simples, exame ultrassonográfico, doppler colorido arterial e venoso e exames laboratoriais.

Resultados: A utilização do protocolo se mostrou bastante eficaz em nosso estudo. Foi encontrado apenas um (1,09%) caso de trombose venosa profunda.

Conclusão: A utilização de tromboprofilaxia para a TVP é indispensável e consagrada nestes casos. Observamos apenas um (1,09%) caso de TVP em nossa casuística. Nível de Evidência III, Estudo Retrospectivo.

Keywords: Arthroplasty Replacement Hip; Combined Modality Therapy; Diagnosis; Primary Prevention; Venous Thrombosis.

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Conflict of interest statement

All authors declare no potential conflict of interest related to this article.

Figures

Figure 1
Figure 1. Prophylactic Scheme of Venous Thromboembolism.
See this image and copyright information in PMC

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