Deep Vein Thrombosis and Neurovascular Injury after Total Hip Arthroplasty.
- Author:
Yu Seok SEO
1
;
Soo Jae YIM
Author Information
- Publication Type:Review
- Keywords: Total hip arthroplasty; Deep vein thrombosis; Neurovascular injury
- MeSH: Angiography; Arthroplasty; Factor Xa; Heparin, Low-Molecular-Weight; Hip; Leg; Magnetic Resonance Spectroscopy; Obesity; Phlebography; Pulmonary Embolism; Risk Factors; Stockings, Compression; Thrombin; Venous Thrombosis; Warfarin
- From:Hip & Pelvis 2012;24(4):279-287
- CountryRepublic of Korea
- Language:Korean
- Abstract: Deep vein thrombosis (DVT) is a relatively common complication of total hip arthroplasty. DVT can accompany symptoms of pain and swelling of the lower leg, and can lead to fatal pulmonary thromboembolism. Surgical procedure is a primary risk factor, and obesity, medical status of disease, or patient's factors could be related. Diagnostic modalities include venography, Doppler ultrasound, CT angiography, and magnetic resonance venography. Mechanical prophylaxis, such as compression stocking and use of an intermittent pneumatic compression device or a pharmacological agent, such as Warfarin, low molecular weight heparin, thrombin inhibitors, and factor Xa inhibitor can be useful. Neurovascular injury after total hip arthroplasty is an uncommon complication, but can be disastrous and fatal. To prevent this complication, the surgeon must be well acquainted with the anatomy and proper surgical skill is needed.
