Incidence of Venographically Proved Deep Vein Thrombosis After Knee Arthroscopy

Demers, Christine; Marcoux, Sylvie; Ginsberg, Jeffrey S.; Laroche, F; Cloutier, Réjean; Poulin, Jacqueline

doi:10.1001/archinte.158.1.47

Cited by 160 publications

(106 citation statements)

References 20 publications

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“…DVT after arthroscopic shoulder surgery is rare, especially when compared with knee arthroscopy, where the incidence of DVT or pulmonary embolism is reportedly 1.5% to 17.9% [11,12,38,44].…”

Section: Discussionmentioning

confidence: 99%

Case Reports: Heritable Thrombophilia Associated with Deep Venous Thrombosis after Shoulder Arthroscopy

Bongiovanni

Ranalletta

Guala

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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Section: Discussionmentioning

confidence: 99%

Case Reports: Heritable Thrombophilia Associated with Deep Venous Thrombosis after Shoulder Arthroscopy

Bongiovanni

Ranalletta

Guala

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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“…As such, these patients are at risk of developing venous thromboembolism (VTE). Numerous reports have documented the frequency of and risk factors for developing a VTE after hip and knee arthroplasty, knee arthroscopy, lower extremity trauma, and even hip arthroscopy [2,3,5,7,16,17,29,35,41,43,45,47]. However, data with regard to VTE after multiligamentous knee reconstruction are scarce [9].…”

Section: Introductionmentioning

confidence: 99%

Low Frequency of Symptomatic Venous Thromboembolism After Multiligamentous Knee Reconstruction With Thromboprophylaxis

Born¹,

Engasser

King

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Reconstruction of the multiligament-injured knee often involves extended surgical and tourniquet use times and often is performed in patients who have sustained concomitant fractures as well as vascular injuries, all of which would appear to predispose the patient to the potentially serious complications of deep vein thrombosis and perhaps pulmonary embolism, yet little is known about the frequency of venous thromboembolic (VTE) events after multiligamentous knee reconstruction. Questions/purposes The purposes of this study were to (1) determine the frequency of symptomatic VTE after multiligamentous knee reconstruction at a single institution; and (2) to determine associated risk factors for VTE in these patients. Methods The records of 134 (63% of the 213 consented individuals in our longitudinal database) patients who underwent primary (129 [96%]) or revision (five [4%]) multiligamentous knee reconstruction at a single institution between 1992 and 2013 were retrospectively reviewed. With two patients undergoing procedures bilaterally, this resulted in a total of 136 multiligamentous knee reconstructions. VTE for which clinical symptoms were evident and confirmed by imaging within 3 months after the reconstructive procedure was noted. Pre-and perioperative data were collected with respect to demographics, associated injuries, medical history, smoking status, and surgical data. Standard rehabilitation and thromboprophylaxis protocols were used in all patients. Results Three cases of symptomatic VTE (three deep vein thromboses) occurred after the 136 reconstructions (2%; 95% confidence interval, 0.53%-7.3%). Two of the three patients were obese and the remaining patient smoked and abused alcohol. However, as a result of a low frequency of VTE, no risk factors could be identified in this series. Conclusions Symptomatic VTE occurred in 2% of multiligamentous knee reconstructions at our institution while receiving thromboprophylaxis. This is similar to rates documented after anterior cruciate ligament reconstruction without thromboprophylaxis. Further multicenter research is required to identify the true frequency of and risk factors for developing VTE in patients undergoing multiligamentous knee reconstruction after knee dislocation. Level of Evidence Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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“…Our findings are in full agreement with these data. Demers et al (1998), however, used venography as the diagnostic modality and found a higher incidence of DVT (18%; 95%CI: 13-24), as compared to studies which used ultrasonography. Recently, the accuracy of CUS has been improved: the examination has been made more comprehensive in terms of venous anatomy and the procedure has been standardized in terms of patient position, probe position and ultrasound modalities (Schellong 2004).…”

Section: Discussionmentioning

confidence: 92%

Low incidence of deep vein thrombosis after knee arthroscopy without thromboprophylaxis: A prospective cohort study of 335 patients

et al. 2006

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Background There is little data on the risk of deep vein thrombosis after knee arthroscopy.Patients and methods We performed a prospective cohort study to establish the incidence of venous thrombo-embolic (VTE) complications after knee arthroscopy in daycare, as detected by bilateral complete compression ultrasonography (CCUS) at day 14 (11-17) postoperatively. 335 patients completed bilateral extended ultrasound. No thromboprophylaxis was given.Results 19 (5.7%; 95% CI: 3.5%-8.7%) showed VTE on CCUS, of whom 2 were symptomatic. 1 patient developed a non-fatal pulmonary embolus during the 8-week follow-up period. There was no difference in immobilization characteristics between the patients who developed postoperative DVT and those who did not; nor could other risk factors be identified.Interpretation Since the incidence of VTE is low and a specific high-risk group for the development of VTE could not be identified, it seems justified to withhold routine pharmacological thromboprophylaxis after arthroscopy of the knee in a daycare setting.

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Incidence of Venographically Proved Deep Vein Thrombosis After Knee Arthroscopy

Cited by 160 publications

References 20 publications

Case Reports: Heritable Thrombophilia Associated with Deep Venous Thrombosis after Shoulder Arthroscopy

Case Reports: Heritable Thrombophilia Associated with Deep Venous Thrombosis after Shoulder Arthroscopy

Low Frequency of Symptomatic Venous Thromboembolism After Multiligamentous Knee Reconstruction With Thromboprophylaxis

Low incidence of deep vein thrombosis after knee arthroscopy without thromboprophylaxis: A prospective cohort study of 335 patients

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