Incidence of Deep Venous Thrombosis Following Fixation of Fractured Lower Extremity
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
This study aimed to evaluate the rate of deep venous thrombosis (DVT) after fixation of fractured lower extremities .This study was carried out at Rabat Hospital in Khartoum Sudan from January 2016 and March 2018 included 176 patents with lower limbs fractures 96% of them fixated by variables types of fixations (plaster, traction, external fixation and traditional bone setter (TBS)) while 4% of them having no fixation. Each fractured extremity was assessed for the presence of DVT using Duplex ultrasonography concerning the period before restoration, fracture wound pattern and complexity, and type of fixation. The data of the study analyzed using Statistical Package for the Social Sciences (SPSS) version 22. This study included 176 patients, 129 male and 47 female the mean of their age is 49.8 years and revealed that 22 had a DVT event, 60 of patients their fractures immobilized by plaster, 4 of them were developed DVT. 67 of the patients used traction, eleven of them having DVT. No DVT detected on six events that underwent external fixation while the largest percentage of DVT event (3out of 7) 42.9% noted on patients that used TBS. Among the 36 patients without fixation, four events developed DVT. The long time before immobilization of fracture the high risk of DVT According to the period of time pre-fracture immobilization the time before restoration divided into six groups within first hour, two to four hours, 5 to 7 hours, 8 to 10 hours and more than 10 hours the DVT events was 14.8%, 5.7%, 7.7%, 11.1%, 20%, 11.4% respectively .The multiple fractures with open wound showed a greater risk for DVT. The fractures calcified according to the wound pattern and complexity to single closed, single open, multiple closed and multiple open the overall DVT event rate was 13.6%, 8.3%, 11.5% and 12.5 respectively. This study concluded that the rate of DVT was high on complex fractures, delayed immobilization and on fractures that immobilized by TBS.
Authors and Affiliations
Awadalla Adam, Mohamed Yousef, Babiker A. Wahab
Keywords
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- EP ID EP377492
- DOI 10.9790/0853-1707105356.
- Views 80
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