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Are We Missing Post-Thrombotic Syndrome Syndrome? An Orthopaedic Perspective in Lower Limb Arthroplasty
2–5% of patients undergoing hip or knee arthroplasty develop a symptomatic DVT; there is evidence to suggest that without prophylaxis 40–60% of patients have a subclinical DVT. This can be reduced by around half with appropriate thromboprophylaxis; there still remains a significant incidence of subc...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3205729/ https://www.ncbi.nlm.nih.gov/pubmed/22084673 http://dx.doi.org/10.1155/2012/324320 |
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author | Reidy, M. MacInnes, A. Pillai, A. |
author_facet | Reidy, M. MacInnes, A. Pillai, A. |
author_sort | Reidy, M. |
collection | PubMed |
description | 2–5% of patients undergoing hip or knee arthroplasty develop a symptomatic DVT; there is evidence to suggest that without prophylaxis 40–60% of patients have a subclinical DVT. This can be reduced by around half with appropriate thromboprophylaxis; there still remains a significant incidence of subclinical DVT. Therefore, it is important to know, as orthopaedic surgeons, if our patients undergoing large joint arthroplasty are being adversely affected. Post-thrombotic syndrome (PTS) is usually associated with symptomatic DVT, and the purpose of this paper is to address if asymptomatic DVT is also associated with an increased risk of PTS. The majority of evidence gathered does not support a link; therefore, there is no evidence to warrant a change in practice to warn patients of a potential risk or to routinely screen asymptomatic patients. |
format | Online Article Text |
id | pubmed-3205729 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-32057292011-11-14 Are We Missing Post-Thrombotic Syndrome Syndrome? An Orthopaedic Perspective in Lower Limb Arthroplasty Reidy, M. MacInnes, A. Pillai, A. Thrombosis Review Article 2–5% of patients undergoing hip or knee arthroplasty develop a symptomatic DVT; there is evidence to suggest that without prophylaxis 40–60% of patients have a subclinical DVT. This can be reduced by around half with appropriate thromboprophylaxis; there still remains a significant incidence of subclinical DVT. Therefore, it is important to know, as orthopaedic surgeons, if our patients undergoing large joint arthroplasty are being adversely affected. Post-thrombotic syndrome (PTS) is usually associated with symptomatic DVT, and the purpose of this paper is to address if asymptomatic DVT is also associated with an increased risk of PTS. The majority of evidence gathered does not support a link; therefore, there is no evidence to warrant a change in practice to warn patients of a potential risk or to routinely screen asymptomatic patients. Hindawi Publishing Corporation 2012 2011-10-27 /pmc/articles/PMC3205729/ /pubmed/22084673 http://dx.doi.org/10.1155/2012/324320 Text en Copyright © 2012 M. Reidy et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Reidy, M. MacInnes, A. Pillai, A. Are We Missing Post-Thrombotic Syndrome Syndrome? An Orthopaedic Perspective in Lower Limb Arthroplasty |
title | Are We Missing Post-Thrombotic Syndrome Syndrome? An Orthopaedic Perspective in Lower Limb Arthroplasty |
title_full | Are We Missing Post-Thrombotic Syndrome Syndrome? An Orthopaedic Perspective in Lower Limb Arthroplasty |
title_fullStr | Are We Missing Post-Thrombotic Syndrome Syndrome? An Orthopaedic Perspective in Lower Limb Arthroplasty |
title_full_unstemmed | Are We Missing Post-Thrombotic Syndrome Syndrome? An Orthopaedic Perspective in Lower Limb Arthroplasty |
title_short | Are We Missing Post-Thrombotic Syndrome Syndrome? An Orthopaedic Perspective in Lower Limb Arthroplasty |
title_sort | are we missing post-thrombotic syndrome syndrome? an orthopaedic perspective in lower limb arthroplasty |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3205729/ https://www.ncbi.nlm.nih.gov/pubmed/22084673 http://dx.doi.org/10.1155/2012/324320 |
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