Diagnosis of the Deep Vein Thrombosis with Multidetector-Row Computed Tomographic Venography after Total Knee Arthroplasty

Eun Kyoo Song; Jong Keun Seon; Sang Jin Park; Seong Beom Cho; Min Sun Choi

doi:10.4055/jkoa.2008.43.3.294

Journal List > J Korean Orthop Assoc > v.43(3) > 1012782

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Song, Seon, Park, Cho, and Choi: Diagnosis of the Deep Vein Thrombosis with Multidetector-Row Computed Tomographic Venography after Total Knee Arthroplasty

Original Article

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2008; 43(3): 294-300.

Published online: 30 June 2008

DOI: https://doi.org/10.4055/jkoa.2008.43.3.294

Diagnosis of the Deep Vein Thrombosis with Multidetector-Row Computed Tomographic Venography after Total Knee Arthroplasty

Eun Kyoo Song, M.D., Jong Keun Seon, M.D., Sang Jin Park, M.D., Seong Beom Cho, M.D., Min Sun Choi, M.D.

Department of Orthopedics, Chonnam National University Medical School, Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Korea.

Address reprint requests to Eun-Kyoo Song, M.D. Department of Orthopaedic Surgery, Chonnam National University Hwasun Hospital, 160, Ilsimri, Hwasun-eup, Hwasun-gun, Jeonnam 519-809, Korea. Tel: +82.61-379-7676, Fax: +82.61-379-7681, eksong@chonnam.ac.kr

Abstract

Purpose

Using the 64-channel multidetector-row computed tomographic venography (MDCT venography), we tried to know the incidence of the deep vein thrombosis (DVT) after total knee arthroplasty and the effectiveness of MDCT venography.

Materials and Methods

From April 2006 to December 2006, two groups of 280 consecutive patients, who underwent primary total knee arthroplasty, were enrolled in this study. We performed antithrombotic chemotherapy on the patients who were confirmed to have symptomatic DVT.

Results

For the first 140 consecutive cases, DVT was found in 48 (34%) patients and only 5 (3.6%) showed clinical symptoms of DVT. For the next 140 cases, 12 (8.6%) cases showed symptoms of DVT and in them 7 (5.0%) of these cases was diagnosed with symptomatic DVT. All the patients had recovered at the last follow-up and no other complications occurred in our series.

Conclusion

Sixty four-channel MDCT venography is valuable as a diagnostic test for DVT after total knee arthroplasty in terms of efficacy and accuracy. Antithrombotic chemotherapy is recommended after confirming the diagnosis with MDCT venography only for the patients with symptoms of DVT.

Keywords: Total knee arthroplasty, Deep vein thrombosis, MDCT venography

Figures and Tables

Fig. 1

A 64-year old woman, who underwent total knee arthroplasty on her right knee, was diagnosed with deep vein thrombosis in the popliteal area by multidetector-row computed tomographic venography.

Table 1

Comparison of General Factors between Two Groups

^†Student t-test for continuous variables and Chi-square test for discrete variables, ^‡Odd ratio ^§Confidence interval ^∥Total knee arthroplasty

Table 2

The Locations of Thrombi in 48 and 7 Patients with Deep Vein Thrombosis Positive via Multidetector-row Computed Tomographic Venography after Total Knee Arthroplasty for Each Group

Table 3

The Number of Patients according to the Presence of Symptoms of Deep Vein Thrombosis

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