Deep Vein Thrombosis and Neurovascular Injury after Total Hip Arthroplasty

Yu Seok Seo; Soo Jae Yim

doi:10.5371/hp.2012.24.4.279

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Seo and Yim: Deep Vein Thrombosis and Neurovascular Injury after Total Hip Arthroplasty

Review Article

Hip & Pelvis

Hip & Pelvis 2012; 24(4): 279-287.

Published online: 31 December 2012

DOI: https://doi.org/10.5371/hp.2012.24.4.279

Deep Vein Thrombosis and Neurovascular Injury after Total Hip Arthroplasty

Yu Seok Seo, MD, Soo Jae Yim, MD

Department of Orthopaedic Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

Address reprint request to Soo Jae Yim, MD. Department of Orthopaedic Surgery, Soonchunhyang University Bucheon Hospital, 170 Jomaru-ro, Wonmi-gu, Bucheon 420-767, Korea. TEL: +82-32-621-5258, FAX: +82-32-621-5018, yimsj@schmc.ac.kr

Received 4 August 2012 Revised 24 December 2012 Accepted 24 December 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Total hip arthroplasty, Deep vein thrombosis, Neurovascular injury

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