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Higher preoperative D-dimer value remain high postoperatively in patients with rheumatoid arthritis compared with those with osteoarthrosis

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Abstract

The differences in hemostatic condition between patients with inflammatory rheumatoid arthritis (RA) and noninflammatory osteoarthrosis (OA) were studied. Twenty-six patients undergoing total knee arthroplasty were enrolled. Compared with OA patients, RA patients showed a higher platelet count and D-dimer value preoperatively, and D-dimer remained high for 1 week after the operation. Patients with OA showed popular DD change, with the lowest value observed before the operation, and a gradual increase for 1 week after the operation. The highest value of thrombin–antithrombin complex was observed immediately after the operation. Fibrinogen and the clot rate at 1 week after operation were higher in both patient groups. We concluded that patients with RA showed different perioperative hemostatic change than patients with OA.

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Mukubo, Y., Kawamata, M. Higher preoperative D-dimer value remain high postoperatively in patients with rheumatoid arthritis compared with those with osteoarthrosis. J Anesth 20, 51–53 (2006). https://doi.org/10.1007/s00540-005-0368-3

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  • DOI: https://doi.org/10.1007/s00540-005-0368-3

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