Controversy: Should All Patients Undergoing TJA Receive Pre- and Postoperative Ultrasound Screening for Detection of DVT?

Marcucci, Massimiliano; Indelli, Pier Francesco; Graceffa, Angelo; Pham, Xuan-Phien; Scardino, Marco; Gurgone, Antonino; Martorelli, Federica

doi:10.1007/978-3-319-07203-6_8

Cited by 1 publication

(2 citation statements)

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“…Although there are a limited number of studies when the outcomes are compared, considerably variable results are reported that change between 4% and 12%. 14 15 The reason for this may be expressed as the nonstandard patients attending the hospitals, and patient groups included in the studies. Some of the mentioned studies recommend preoperative screening of DVT, however, some report that it does not have an additional advantage and therefore it is not essential.…”

Section: Discussionmentioning

confidence: 99%

“…The surgical intervention in these patients with DVT was postponed, and the patients were treated for DVT and the authors have reported that routine screening in the preoperative period was a life-saving procedure. 14 In a series of 505 patients undergoing THA, Wakabayashi et al . found 62 cases (12.3%) with DVT, and they reported that DVT developed more frequently in patients with advanced age, major surgeries, RA, revision THA, and treatment for cancer.…”

Section: Discussionmentioning

confidence: 99%

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Should venous doppler ultrasonography be routinely applied before lower extremity major orthopedic surgery?

Göçer

Yazici²,

Polat

2017

Niger Med J

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Background:Hip-knee arthroplasty and knee arthroscopy (KA) is frequently applied in the orthopaedic surgery. The approach does not exist related with the preoperative asymptomatic deep venous thrombosis (DVT). In this study, the patients who would undergo surgery lower extremity were screened for asymptomatic DVT, using the venous Doppler ultrasonography (USG).Patients and Methods:DVT was screened by venous Doppler USG in the patients who would undergo hip-knee arthroplasty and KA between the dates of November 2013 and September 2015. The patients were investigated regarding the age, gender, and the planned operation. The cases were separated to the following three groups: group I (<49 years), Group II (49–69 years), and Group III (≥70 years).Results:The study included 222 patients; of these, 174 were female and 48 were male. Group I, Group II, and Group III included 45, 115, and 62 patients, respectively. Of the six patients determined to exist with DVT, 2 (1.73%) were in Group II, and 4 (6.45%) were in Group III.Conclusion:Although the differences were not found to be statistically significant, it may be useful to screen asymptomatic DVT by Doppler USG in the preoperative period in the 70-year-old male patients, and in those over 70.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%