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The incidence of deep vein thrombosis (DVT) during hip arthroscopic surgery

Archives of Orthopaedic and Trauma Surgery volume 136, pages 1431–1435 (2016)Cite this article

Abstract

Introduction

The use of hip arthroscopy has been widely increasing. Although deep vein thrombosis (DVT) is thought to be a serious complication of orthopaedic surgery, there were few reports discussing DVT related to hip arthroscopic surgery. This study aimed to investigate the incidence and risk factors of DVT related to hip arthroscopic surgery.

Materials and methods

This retrospective study included 72 patients. Clinical diagnosis of DVT was confirmed through ultrasonography performed preoperatively and 3 days postoperatively. Additionally, d-dimer levels were measured preoperatively and on postoperative days 1, 3, and 7. Age, body mass index, operation time, procedure type, and d-dimer levels were statistically compared between the two groups (identified DVT vs. no identified DVT).

Results

Five patients (6.94 %) were diagnosed with DVT clinically, although all cases were asymptomatic. The mean age of the patients with identified DVT was 62.0 ± 6.1 years; significantly higher than the mean age of the patients without DVT (45.1 ± 1.7 years; P = 0.0188).

Conclusion

The incidence of DVT during hip arthroscopy, investigated by ultrasound, was 6.94 %. From our results, we recommend screening for and treatment of asymptomatic DVT, especially in older patients, during hip arthroscopic surgery.

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Affiliations

  1. Department of Orthopaedic Surgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan

    Kensuke Fukushima, Katsufumi Uchiyama, Mitsutoshi Moriya, Tsuyoki Minato & Masashi Takaso

  2. Department of Rehabilitation, Kitasato University School of Allied Health Sciences, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan

    Naonobu Takahira

Authors
  1. Kensuke Fukushima
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  2. Naonobu Takahira
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  3. Katsufumi Uchiyama
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  4. Mitsutoshi Moriya
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  5. Tsuyoki Minato
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  6. Masashi Takaso
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Correspondence to Kensuke Fukushima.

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Fukushima, K., Takahira, N., Uchiyama, K. et al. The incidence of deep vein thrombosis (DVT) during hip arthroscopic surgery. Arch Orthop Trauma Surg 136, 1431–1435 (2016). https://doi.org/10.1007/s00402-016-2508-7

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  • DOI: https://doi.org/10.1007/s00402-016-2508-7

Keywords

  • Hip arthroscopy
  • Deep vein thrombosis
  • Surgical complication
  • Low extremity surgery