[Prevention of deep vein thrombosis in total knee replacement--current status of therapy in orthopedie and trauma departments in Germany]. / Thromboseprophylaxe in der Knieendoprothetik. Stand der Therapie an deutschen orthopädisch-traumatologischen Kliniken.
Sportverletz Sportschaden
; 20(3): 149-52, 2006 Sep.
Article
em De
| MEDLINE
| ID: mdl-16998769
ABSTRACT
INTRODUCTION:
Symptomatic deep vein thrombosis is a serious complication after total knee arthroplasty, with a risk of about 4-5% despite prevention with herparin. Aim of the current study was to find out about the actual status of thrombosis prophylaxis in Germany after total knee replacement. MATERIAL ANDMETHODS:
In a countrywide survey 470 German trauma and orthopaedic surgery departments were asked about their prophylactic procedures addressing deep vein thrombosis after total knee replacement.RESULTS:
98% perform prevention of thrombosis with low-molecular-weight heparin, 2% use unfractioned heparin. Low-molecular-weight heparin is applicated in standard doses in 48% and in 44% according to patient's weight. In 82% the prophylaxis is begun the night before surgery. The therapy is carried out for 4.7 weeks in mean. 96% use graduated compressions stocking as additional therapeutic option.CONCLUSION:
Our survey shows that most of the surgeons perform prevention of deep vein thrombosis according to the official guidelines.
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Base de dados:
MEDLINE
Assunto principal:
Pré-Medicação
/
Padrões de Prática Médica
/
Artroplastia de Quadril
/
Trombose Venosa
/
Meias de Compressão
/
Fibrinolíticos
Tipo de estudo:
Guideline
/
Qualitative_research
País como assunto:
Europa
Idioma:
De
Ano de publicação:
2006
Tipo de documento:
Article