The incidence of symptomatic deep vein thrombosis and pulmonary embolism in the Indian population, following TKA patients, with postoperative prophylaxis
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 4
Abstract
Introduction Deep Vein Thrombosis DVT and Pulmonary Embolism PE are the lifethreatening complications which can occur in patients undergoing elective Total Knee Arthroplasties TKA Incidence in western population appears high in published Literature While the Indian population it appears to be variable The difference might be due to different Genetic makeup social lifestyles of both populations1 The study intends to find an incidence of symptomatic DVT and PE in postoperative TKA patients on the prophylactic drug regimenAim To study the incidence of symptomatic DVT and PE in postTKA patients in Indian populationMaterials and Methods Retrospective Study conducted from 1st may 2017 to 1st may 2018 in BIRRD T Hospital All patients who underwent TKA are included after following inclusion and exclusion criteria These patients were evaluated for symptoms during the hospital stay and after discharge for 3 MonthsResult Total number of patients who had TKA were 2292N2292 The symptomatic DVT was found in 6n6 patients All 3 patients were managed with a therapeutic regimen Four patients developed PE p4 during the study period three patients developed pulmonary embolism in first 24 hours postoperatively and expired in spite of ICU management One patient expired on the 4thweek postoperatively with PE at home Two patients presented with symptoms on 2nd and 4th postoperative days one underwent fasciotomy on 4th postoperative day All other patients were on a prophylactic regimenConclusion Our results suggest incidence of DVT and PE are low in the Indian population with a prophylactic regimenKeywords Deep vein thrombosis Pulmonary embolism Prophylaxis Total knee arthroplasties Venous thromboembolism
Authors and Affiliations
Senthil Kumar Mahalingam, Sandeep Sandeep, Jagdeesh Gudaru, Karthik Gudaru
Keywords
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- EP ID EP476692
- DOI 10.18231/2395-1362.2018.0068
- Views 96
- Downloads 0
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