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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 443 - 448 (6page)
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초록· 키워드
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This study was undertaken to determine the prevalence and the natural course of venous thromboembolism (VTE) without thromboprophylaxis to ascertain whether routine thromboprophylaxis is necessary following unicompartmental knee arthroplasty (UKA) in Korean patients. The medical records and multidetector row computed tomography (MDCT) imaging of the consecutive 77 UKAs in 70 patients were reviewed. In all patients, MDCTs were undertaken preoperatively and at 1-week after surgery, and VTE symptoms were evaluated. At postoperative 6-months, follow-up MDCTs were undertaken in all patients in whom VTEs were newly detected after surgery. VTE lesions were newly detected in 18 (26%) of the 70 patients. However, none of the patients complained of VTE-related symptoms and MDCT demonstrated that all VTEs were small and involved limited portion without lower leg edema or pleuroparenchymal complication. At the 6-month follow up MDCT, all types of VTEs were shown to be completely resolved, regardless of their location. All of the VTE lesions maintained an asymptomatic status for 6-month after surgery. VTE following UKA in Korean patients who do not receive thromboprophylaxis seems to occur frequently, but all of the VTEs are clinically insignificant and all VTEs are spontaneously regressed. Routine thromboprophylaxis or thrombolytic treatment in Korean patients undergoing UKA may not be necessary.
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참고문헌 (36)
참고문헌 신청
Falck-Ytter Y / 2012 / American College of Chest Physicians. Prevention of VTE in orthopedic surgery patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines / Chest 141:e278S~e325S
Haas SB / 2009 / Venous thromboembolic disease after total hip and knee arthroplasty / Instr Course Lect 58:781~793
Geerts WH / 2008 / Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines / Chest 133:381S~453S
Johanson NA / 2009 / American academy of orthopaedic surgeons clinical practice guideline on. Prevention of symptomatic pulmonary embolism in patients undergoing total hip or knee arthroplasty / J Bone Joint Surg Am 91:1756~1757
Lieberman JR / 2005 / Prevention of venous thromboembolic disease after total hip and knee arthroplasty / J Bone Joint Surg Am 87:2097~2112
Haas SB / 2009 / Venous thromboembolic disease after total hip and knee arthroplasty / Instr Course Lect 58:781~793
Geerts WH / 2008 / Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines / Chest 133:381S~453S
Johanson NA / 2009 / American academy of orthopaedic surgeons clinical practice guideline on. Prevention of symptomatic pulmonary embolism in patients undergoing total hip or knee arthroplasty / J Bone Joint Surg Am 91:1756~1757
Lieberman JR / 2005 / Prevention of venous thromboembolic disease after total hip and knee arthroplasty / J Bone Joint Surg Am 87:2097~2112
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