Incidence of Deep Venous Thrombosis Followed by Fracture of Neck of Femur in the Elderly Patients with Prophylaxis of Anticoagulant: A Cross-Sectional Study

Abstract

Introduction:Fracture of the neck of the femur is the most common fracture due to osteoporosis in the elderly population. Almost one-third of the patients with such fractures lead to mortality. Aim:To determine the incidence of deep vein thrombosis in elderly patients with a fracture in the head of femur and prophylactic administration of anticoagulants.Methodology: Elderly patients (age above 60 years) with fractures in the head of the femur were included in this study. They should have either extracapsular or extracapsular fracture of the neck of the femur. According to the exclusion criteria, patients who were below 60 years old and have a fracture of the neck of the femur but also had multiple traumas and a previous history of deep vein thrombosis. All patients who were non-compliant to the prophylactic drugs were also categorized in exclusion criteria. The patients were administered prophylactic anticoagulants on admission. All the patients were investigated through Color Doppler Ultrasonography when they were admitted for the confirmation and documenting the diagnosis.Result: Total 60 patients standing the inclusion criteria were selected. All of them were above the age of 60 years. They all were given thromboprophylaxis. Total 12 out of 60 patients presented with deep vein thrombosis. Conclusion:Deep vein thrombosis is quite common in patients with fractures of the head of the femur and they must be given anticoagulation prophylactically. In the present study, all patients received the drug enoxaparin for the prevention of DVT, however, significant number of patients still present with the deep vein thrombosis.