Assessment of Various Hematological Complications after Orthopaedic Surgery
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 8
Abstract
Introduction: Various scoring systems have been developed to develop the diagnosis of heparin induced thrombocytopenia and it based on the timing of appearance of thrombocytopenia, magnitude of the drop in level of platelet count, and the presence of clinical signs and symptoms of thrombosis. The present study was aimed at establishing the incidence of haematological complications after lower limb orthopaedic surgery. Material and methods: The present retrospective study was conducted in the Department of Orthopaedics at the Institute, State during a period of one year i.e. from June 20XX to August 20XX. In this all the patients who underwent hip or knee arthroplasty were identified from the hospital records. Information regarding their date of surgery, operative treatment and postoperative thromboprohylaxis was obtained from the record book of the hospital. Patients were made to fill a questionnaire for 6 weeks which was later reviewed for any changes from the baseline. All the data was recorded in a tabulated form and analysed using SPSS software. Result: A total of 2700 patients were operated for total hip arthroplasty, compartmental knee arthroplasty or primary knee arthroplasty, all these patients were discharged with daily dosage of 5000 units of subcutaneous heparin. Out of these only 1500 responded after a 6 week follow up period. There were 2.4% (n=36) who developed thromboembolic complications. There were 51% (n=1377) cases of primary total knee arthroplasty. In 42% cases (n=1134) primary total hip arthroplasty was done. In 5% cases (n=135) uni compartmental knee arthroplasty was done Conclusion: Heparin is mandatory after knee or hip arthroplasty. With certain advantages, the usage of heparin should be done cautiously with proper preoperative and postoperative platelet count monitoring.
Authors and Affiliations
Sanjoy Chakravarty, Manjuri Kataki, Anshuman Kumar
Keywords
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