Incidence of Symptomatic and Asymptomatic Venous Thromboembolism After Elective Knee Arthroscopic Surgery: A Retrospective Study With Routinely Applied Venography

Sun, Ye; Chen, Dongyang; Xu, Zhihong; Shi, Dongquan; Dai, Jin; Qin, Jianghui; Jiang, Qing

doi:10.1016/j.arthro.2014.02.043

Cited by 74 publications

(68 citation statements)

References 22 publications

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“…Procedures performed during arthroscopy in the included patients are outlined in Table 1. The rationale for including knee arthroscopy and arthroscopy-assisted procedures such as anterior cruciate ligament (ACL) reconstruction is that the reported rates of VTEs in ACL reconstruction versus simple knee arthroscopy are not significantly different, with the notable exception of the report of Sun et al 11 in 2014. In addition, our postoperative protocols for knee arthroscopy and ACL reconstruction were similar, with range of motion and immediate weight bearing as tolerated.…”

Section: Methodsmentioning

confidence: 98%

“…A recent study reported 80 total VTEs by routine surveillance (14.9%), but only 20 of these were symptomatic and clinically relevant (3.7%). 25 In our study no prospective assessment of a surrogate marker for VTEs, such as screening ultrasound, was used. It is possible that a prospective assessment of surrogate markers may have resulted in additional VTEs being diagnosed; however, the clinical importance of such events has been questioned.…”

Section: Limitationsmentioning

confidence: 99%

See 1 more Smart Citation

Incidence and Risk Factor Analysis of Symptomatic Venous Thromboembolism After Knee Arthroscopy

Krych

Sousa

Morgan

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Section: Methodsmentioning

confidence: 98%

Section: Limitationsmentioning

confidence: 99%

Incidence and Risk Factor Analysis of Symptomatic Venous Thromboembolism After Knee Arthroscopy

Krych

Sousa

Morgan

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…As a common complication of major orthopedic surgery such as total knee and hip arthroplasty, venous thromboembolism (VTE) includes deep vein thrombosis (DVT) and pulmonary embolism (PE), which has gradually attracted people's attention in recent years due to its life-threatening potential [1,2]. It has been con rmed that DVT of the lower extremities is the main manifestation of VTE [3] and the death of patients due to PE also occurred after knee arthroscopic surgery [4,5] with a relatively low incidence [6,7]. At the present time, the use of anticoagulation in patients undergoing knee arthroscopic surgery remains controversial [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…It has been con rmed that DVT of the lower extremities is the main manifestation of VTE [3] and the death of patients due to PE also occurred after knee arthroscopic surgery [4,5] with a relatively low incidence [6,7]. At the present time, the use of anticoagulation in patients undergoing knee arthroscopic surgery remains controversial [6,7]. Previously, the American College of Chest Physicians (8th Edition) has pointed out that conventional anticoagulation is not required after arthroscopic surgery unless there exist other risk factors that may cause DVT [8].…”

Section: Introductionmentioning

confidence: 99%

Common risk factors of deep vein thrombosis after arthroscopic posterior cruciate ligament reconstruction: a 5-year retrospective study

Xiao-yu

Ding

Huan

et al. 2020

Preprint

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Background To analyse the common risk factors of deep venous thrombosis (DVT) after knee arthroscopic posterior cruciate ligament (PCL) reconstruction in patients with PCL injury. Methods From August 2014 to December 2019, a total of 86 patients who had accepted knee arthroscopic PCL reconstruction underwent the color Doppler ultrasound of bilateral lower-extremities deep veins on 3 days postoperatively. Based on the inspection results, patients were divided into DVT group (9 males and 4 females, mean age 43.62 years) and non-DVT group (54 males and 19 females, mean age 33.96 years). The potential associations of DVT risk and age, gender, body mass index (BMI), diabetes, hypertension, smoking and other factors were analysed. Results High BMI and post-surgery D-dimer values were significantly associated with DVT risk. Conclusions Increased BMI and postoperative D-dimer levels are risk factors of DVT following knee arthroscopic PCL reconstruction in patients with PCL injury.

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“…However, the hypercoagulable state after surgical injury continues for at most 48 hours, during which time, the occurrence of deep venous thrombosis will peak. 24) Making a clear distinction between acute and chronic thrombosis in duplex ultrasonography is important. The vein is normally distended under low pressure and can be compressed easily with little pressure from the probe.…”

Section: )mentioning

confidence: 99%

The Incidence of Venous Thromboembolism Following Shoulder Surgery: A Pilot Study

Cho

Jang²,

Park

et al. 2017

Clinics in Shoulder and Elbow

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Background: To assess the incidence of venous thromboembolism (VTE) following shoulder surgery and to evaluate the role of postoperative duplex ultrasonography. Methods: The study comprised a total of 224 patients who underwent shoulder surgery, including 180 shoulder arthroscopic surgeries, 28 shoulder arthroplasties, and 16 plate fixations for proximal humerus fracture between January 2014 and December 2014. The mean age of patients was 59.0 years, and there were 81 men and 143 women. Clinical data, including body mass index, blood tests, metabolic work-up for liver and renal function, previous, and present medical history, were evaluated. Duplex ultrasonography in the operative arm was performed on 2 to 4 days after surgery. Results: The overall incidence of VTE following shoulder surgery was 0.45% (1/224). One patient with open reduction and plate fixation for proximal humerus fracture had asymptomatic deep vein thrombosis that showed complete remission after anticoagulant medication during a 2-month period. Four patients had asymptomatic superficial cephalic vein thrombosis and complete remission without any treatment. There was no case of pulmonary embolism. Conclusions: The incidence of VTE following shoulder surgery was extremely low in Asians. Duplex ultrasonography may be not considered a routine follow-up of shoulder surgery and can be selectively performed in high-risk or symptomatic patients for VTE. (Clin Shoulder Elbow 2017;20(1):18-23)

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Incidence of Symptomatic and Asymptomatic Venous Thromboembolism After Elective Knee Arthroscopic Surgery: A Retrospective Study With Routinely Applied Venography

Cited by 74 publications

References 22 publications

Incidence and Risk Factor Analysis of Symptomatic Venous Thromboembolism After Knee Arthroscopy

Incidence and Risk Factor Analysis of Symptomatic Venous Thromboembolism After Knee Arthroscopy

Common risk factors of deep vein thrombosis after arthroscopic posterior cruciate ligament reconstruction: a 5-year retrospective study

The Incidence of Venous Thromboembolism Following Shoulder Surgery: A Pilot Study

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