Journal List > J Korean Orthop Assoc > v.37(5) > 1012043

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Kim, Kim, Baek, Park, Park, and Kim: Color Doppler Sonography Surveillance for Deep Vein Thrombosis after Hip Replacement Surgery
Original Article

Journal of the Korean Orthopaedic Association 2002; 37(5): 577-581.

Published online: 4 January 2018

DOI: https://doi.org/10.4055/jkoa.2002.37.5.577

Color Doppler Sonography Surveillance for Deep Vein Thrombosis after Hip Replacement Surgery

Shin Yoon Kim, Sung Jung Kim, Joon Ho Baek, Il Hyung Park, Byung Chul Park, Tae Hun Kim

Department of Orthopedic Surgery, School of Medicine Kyungpook National University, Daegu, Korea.

Department of Radiology, School of Medicine Kyungpook National University, Daegu, Korea.

syukim@knu.ac.kr

Copyright © 2002 The Korean Orthopaedic Association

Abstract

Purpose

The purpose of this study was to validate the value of Duplex Color Doppler Ultrasonography (DDU) in post-operative deepvein thrombosis (DVT) after hip replacement surgery.

Materials and Methods

From September 1998 to June 2000, 138 cases (130 patients) were eligible for a minimal one-year follow-up.DDU was carried out between the 7th and 10th postoperative in all cases, patients wore a compressive stocking on the lower extremity.

Results

DVT occurred in five cases (4%), four cases occurred at 10th postoperative day and one case was occurred after one month. DVT occurred in the femoral vein in all cases. Three cases had clinical symptoms such as pain and localized edema. However, no case complained of systemic pulmonary symptoms.

Conclusion

The incidence of DVT obtained from DDU after replacement hip surgery was very low (4%) with early mobilization and acompressive stocking. No case of DVT progressed to symptomatic pulmonary embolism. DDU was valuable for detecting DVT in the proximal thigh as a screening test.

Keywords: Hip replacement surgery, Deep vein thrombosis, Duplex doppler ultrasonography

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