Incidences of Deep Vein Thrombosis and Pulmonary Embolism after Total Knee Arthroplasty Using a Mechanical Compression Device with and without Low-Molecular-Weight Heparin
10.5792/ksrr.2016.28.3.213
- Author:
Sin Hyung PARK
1
;
Joong Hyeon AHN
;
Yong Bok PARK
;
Sun Geun LEE
;
Soo Jae YIM
Author Information
1. Department of Orthopedic Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea. yims@chol.com
- Publication Type:Original Article
- Keywords:
Knee;
Arthroplasty;
Thromboembolism;
Prophylaxis;
Mechanical;
Intermittent pneumatic compression device
- MeSH:
Arthroplasty;
Arthroplasty, Replacement, Knee;
Drainage;
Hemorrhage;
Heparin, Low-Molecular-Weight;
Humans;
Incidence;
Knee;
Pulmonary Embolism;
Retrospective Studies;
Thromboembolism;
Venous Thrombosis
- From:The Journal of Korean Knee Society
2016;28(3):213-218
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To investigate the incidence of thromboembolic events and complications related to bleeding after total knee arthroplasty (TKA) with a mechanical compression device alone or in combination with low-molecular-weight heparin (LMWH). MATERIALS AND METHODS: A total of 489 TKA patients (776 knees) were retrospectively reviewed for the incidence of thromboembolic events and complications related to bleeding. While 233 patients (354 knees) were treated with a mechanical compressive device without LMWH, 256 patients (422 knees) were treated with the mechanical compressive device along with LMWH. RESULTS: The incidences of deep vein thrombosis (DVT) and pulmonary embolism (PE) were 15 of 375 knees (4.0%) and 5 of 375 knees (1.3%), respectively, in the group that used only a mechanical compressive device, and 14 of 401 knees (3.4%) and 5 of 401 knees (1.2%), respectively, in the group that used the mechanical compressive device with LMWH. There was no significant difference between the two groups (p=0.125 and p=0.146, respectively). The postoperative hemovac drainage amount was 635±57 mL in the group with a mechanical compressive device only and 813±84 mL in the group with the device and LMWH; therefore, the amount of drainage was significantly greater in the latter group (p=0.013). CONCLUSIONS: Mechanical compression alone for prophylaxis against DVT and PE after TKA can be an attractive option in Korean patients.
