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VOLUME 10 , ISSUE 2 ( August, 2015 ) > List of Articles

Original Article

The incidence of deep vein thrombosis and pulmonary embolism with the elective use of external fixators

David J. S. Roberts, Anna Panagiotidou, Matthew Sewell, David Goodier

Keywords : Thrombosis, Prophylaxis, Frame, Elective, Incidence

Citation Information : Roberts DJ, Panagiotidou A, Sewell M, Goodier D. The incidence of deep vein thrombosis and pulmonary embolism with the elective use of external fixators. 2015; 10 (2):67-71.

DOI: 10.1007/s11751-015-0219-1

License: CC BY-NC-SA 4.0

Published Online: 01-12-2013

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

Little evidence exists about the incidence of deep vein thrombosis (DVT) and pulmonary embolism (PE) with the use of external fixators. We investigated this in a cohort of 207 consecutive patients undergoing 258 elective frame applications by case note review. Case notes were obtained for 84 % of the sample population. The type of surgery, demographic data, thromboembolic risk factors and the incidence of DVT/PE were recorded. One patient experienced DVT (0.39 %) and one a PE (0.39 %). Both were of high risk and had received mechanical and chemical thromboprophylaxis during their inpatient stay. These complications were identified at least 3 months post-operatively. These findings help to more accurately counsel patients undergoing elective frame surgery on the risks of DVT/PE and also contribute to the discussion between surgeons about whether or not extended course chemical thromboprophylaxis would be of overall benefit.


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  1. Clayton RAE, Gaston P, Watts AC, Howie CR (2009) Thromboembolic disease after total knee replacement: experience of 5100 cases. Knee 16:18-21
  2. Howie C, Hughes H, Watts AC (2005) Venous thromboembolism associates with hip and knee replacement over a ten-year period. J Bone Joint Surg [Br] 87-B(12):1675-1680
  3. Sems SA, Levy BA, Dajani K, Herrera DA, Templeman DC (2009) Incidence of deep venous thrombosis after temporary joint spanning external fixation for complex lower extremity injuries. J Trauma 66:1164-1166
  4. No authors listed. Venous thromboembolism: reducing the risk: Reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital (CG92). http://publications.nice.org.uk/venous-thromboembolism-reducing-the-risk-cg92. Last accessed 29 September 2013
  5. Murray DW, Britton AR, Bulstrode CJK (1996) Thromboprophylaxis and death after total hip replacement. J Bone Joint Surg [Br] 78-B(6):863-870
  6. Imperiale TF, Speroff T (1994) A meta-analysis of methods to prevent venous thromboembolism following total hip replacement. JAMA 271:1780-1785
  7. Maynard MJ, Sculco TP, Ghelman B (1991) Progression and regression of deep vein thrombosis after total knee arthroplasty. Clin Orthop 273:125-130
  8. Kim YH, Oh SH, Kim JS (2003) Incidence and natural history of deep vein thrombosis after total hip arthroplasty. J Bone Joint Surg [Br] 85-B(5):661-665
  9. http://www.aaos.org/Research/guidelines/VTE/VTE_summary_of_recs.pdf
  10. Bozic KJ, Vail TP, Pekow PS, Maselli JH, Lindenauer PK, Auerbach AD (2010) Does aspirin have a role in venous thromboembolism prophylaxis in total knee arthroplasty patients? J Arthroplasty 25(7):1053-1060
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