The incidence of deep vein thrombosis and pulmonary embolism after fracture of the tibia: An analysis of the National Trauma Databank

Auer, Ronald; Riehl, John T.

doi:10.1016/j.jcot.2017.01.007

Cited by 22 publications

(17 citation statements)

References 13 publications

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“…However, many researchers failed to differentiate specific fracture sites [ 14 , 15 ]. Studies showed that the incidence of DVT at each anatomic location of the fracture varies greatly [ 7 , 11 ]. The results demonstrated that the incidence rate of DVT in isolated patella fractures was 4.1%.…”

Section: Discussionmentioning

confidence: 99%

“…However, studies on the incidence of DVT in patients with isolated fractures of the lower extremities are limited. Minimal studies have focused on the thromboembolic events in femoral shaft fracture [ 6 ], tibia fracture [ 7 ], ankle fracture [ 8 ], and calcaneal fracture [ 9 ]. However, two researchers studied the incidence of DVT in isolated patella fractures [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

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Incidence and risk factors for deep venous thrombosis of lower extremity after surgical treatment of isolated patella fractures

Tan

Deng

et al. 2021

J Orthop Surg Res

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Background Limited information exists on the incidence of postoperative deep venous thromboembolism (DVT) in patients with isolated patella fractures. The objective of this study was to investigate the postoperative incidence and locations of deep venous thrombosis (DVT) of the lower extremity in patients who underwent isolated patella fractures and identify the associated risk factors. Methods Medical data of 716 hospitalized patients was collected. The patients had acute isolated patella fractures and were admitted at the 3rd Hospital of Hebei Medical University between January 1, 2016, and February 31, 2019. All patients met the inclusion criteria. Medical data was collected using the inpatient record system, which included the patient demographics, patient’s bad hobbies, comorbidities, past medical history, fracture and surgery-related factors, hematological biomarkers, total hospital stay, and preoperative stay. Doppler examination was conducted for the diagnosis of DVT. Univariate analyses and multivariate logistic regression analyses were used to identify the independent risk factors. Results Among the 716 patients, DVT was confirmed in 29 cases, indicating an incidence of 4.1%. DVT involved bilateral limbs (injured and uninjured) in one patient (3.4%). DVT involved superficial femoral common vein in 1 case (3.4%), popliteal vein in 6 cases (20.7%), posterior tibial vein in 11 cases (37.9%), and peroneal vein in 11 cases (37.9%). The median of the interval between surgery and diagnosis of DVT was 4.0 days (range, 1.0-8.0 days). Six variables were identified to be independent risk factors for DVT which included age category (> 65 years old), OR, 4.44 (1.34-14.71); arrhythmia, OR, 4.41 (1.20-16.15); intra-operative blood loss, OR, 1.01 (1.00-1.02); preoperative stay (delay of each day), OR, 1.43 (1.15-1.78); surgical duration, OR, 1.04 (1.03-1.06); LDL-C (> 3.37 mmol/L), OR, 2.98 (1.14-7.76). Conclusion Incidence of postoperative DVT in patients with isolated patella fractures is substantial. More attentions should be paid on postoperative DVT prophylaxis in patients with isolated patella fractures. Identification of associated risk factors can help clinicians recognize the risk population, assess the risk of DVT, and develop personalized prophylaxis strategies.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incidence and risk factors for deep venous thrombosis of lower extremity after surgical treatment of isolated patella fractures

Tan

Deng

et al. 2021

J Orthop Surg Res

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“…However, many researchers failed to differentiate speci c fracture sites, [14,15] other few studies found the incidence of DVT at each anatomic location of the fracture varies greatly. [7,11] In our research, the result showed the incidence rate of DVT in isolated patella fractures was 4.1%. Jared A et al [10] studied the incidence rate of postoperative VET (venous thromboembolism) in patients with lower extremity trauma from 2008 to 2016 in the United States, the results showed that the incidence rate of DVT in patients with patella fractures over the study was 0.6% and ranged from 0.0-1.5%, but the speci c locating of the DVTs was not mentioned in his study.…”

Section: Discussionmentioning

confidence: 58%

“…[5] However, studies on the incidence of DVT in patients with isolated fractures of the lower extremity are limited. And just few studies focused on the thromboembolic events in femoral shaft fracture, [6] tibia fracture, [7] ankle fractures, [8] and calcaneal fractures. [9] To our knowledge, so far just two researches studied the incidence of DVT in isolated patella fractures.…”

Section: Introductionmentioning

confidence: 99%

Incidence and Risk Factors for Deep Venous Thrombosis of Lower Extremity After Surgical Treatment of Isolated Patella Fractures

Tan

Deng

et al. 2020

Preprint

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Background: Limited information exists on the incidence of postoperative deep venous thromboembolism (DVT) in patients with isolated patella fractures. The objective of this study was to investigate the postoperative incidence and locations of deep venous thrombosis (DVT) of the lower extremity in patients underwent isolated patella fractures and to identify the associated risk factors.Methods: We collected the medical data of 716 hospitalized patients with acute isolated patella fracture who presented at the 3rd Hospital of Hebei Medical University between January 1, 2016, and February 31, 2019 and all patients met the inclusion criteria. Medical data were collected using the inpatient record system, including the patient demographics, patient’s bad hobbies, comorbidities, past medical history, fracture and surgery-related factors, and hematological biomarkers, total hospital stay, preoperative stay. Doppler examination was conducted for the diagnosis of DVT, Univariate analyses and multivariate logistic regression analyses were used to identify the independent risk factors.Results: Among the 716 patients, DVT was confirmed in 29 cases, indicating an incidence of 4.1%. DVT involved bilateral limbs (injured and uninjured) in one patient (3.4%). DVT involved superficial femoral common vein in 1 case (3.4%), popliteal vein in 6 cases (20.7%), posterior tibial vein in 11 cases (37.9%), and peroneal vein in 11 cases (37.9%). The median of the interval between surgery and diagnosis of DVT was 4.0 days (range: 1.0 to 8.0 days). Six variables were identified to be independent risk factors for DVT, including age category (>65 years old), OR, 4.44 (1.34 - 14.71), arrhythmia, OR, 4.41(1.20 - 16.15), intra-operative blood loss, OR, 1.01 (1.00 - 1.02), preoperative stay (delay of each day), OR, 1.43 (1.15 - 1.78). Surgical duration, OR, 1.04 (1.03 - 1.06), LDL-C (> 3.37 mmol/L), OR, 2.98 (1.14 - 7.76).Conclusion: Incidence of postoperative DVT in patients with isolated patella fractures is not low. More attentions should be paid on postoperative DVT prophylaxis in patients with isolated patella fractures. Identification of associated risk factors can help clinicians recognize the risk population, assess the risk of DVT and develop personalized prophylaxis strategies.

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“…Many risk factors are found to be associated with VTE after ankle surgery. Auer et al found that age was the most prevalent risk factor for VTE after orthopaedic foot and ankle surgery, followed by hypertension,4 while another study conducted by Huntley et al pointed out multiple risk factors associated with ankle surgery associated VTE such as female gender, increasing age, obesity, inpatient status and non-elective surgery 5. The elements which generally increase the risk of VTE include the degree of immobilisation and casting, proximity to the knee (operation closer to the knee is at higher risk) and type of surgery (eg, Achilles tendon rupture has a higher risk).…”

Section: Discussionmentioning

confidence: 99%

Sudden death due to pulmonary embolism after minor ankle surgery

et al. 2019

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Venous thromboembolism prophylaxis guidelines are clear for major orthopaedic surgeries, but data regarding ankle surgery are insufficient. Death from pulmonary embolism (PE) after ankle surgery is rare with the frequency of less than 0.037%. 1 We present a case of a fatal PE after ankle surgery to raise awareness about this rare but potentially fatal complication. Our patient had a left ankle fracture status postsurgical fixation and was discharged without venous thromboembolism (VTE) prophylaxis. Twenty days later, she presented with a sudden onset of dyspnoea and palpitations and was diagnosed to have extensive right-sided PE. Intravenous heparin and thrombolytics were given, but she had multiple pulseless electrical activity arrests, developed disseminated intravascular coagulation and died. Our case depicts an unusual complication of ankle surgery and highlights the importance of considering VTE as one of the complications. Medical personnel should evaluate the need for VTE prophylaxis after ankle surgery on a case to case basis.

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The incidence of deep vein thrombosis and pulmonary embolism after fracture of the tibia: An analysis of the National Trauma Databank

Cited by 22 publications

References 13 publications

Incidence and risk factors for deep venous thrombosis of lower extremity after surgical treatment of isolated patella fractures

Incidence and risk factors for deep venous thrombosis of lower extremity after surgical treatment of isolated patella fractures

Incidence and Risk Factors for Deep Venous Thrombosis of Lower Extremity After Surgical Treatment of Isolated Patella Fractures

Sudden death due to pulmonary embolism after minor ankle surgery

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