Prevention of deep vein thrombosis in total knee replacement - Current status of therapy in orthopedie and trauma departments in Germany

Luering, C. and Oczipka, F. and Baethis, H. and Grifka, J. and Tingart, M. (2006) Prevention of deep vein thrombosis in total knee replacement - Current status of therapy in orthopedie and trauma departments in Germany. SPORTVERLETZUNG-SPORTSCHADEN, 20 (3). pp. 149-152. ISSN 0932-0555, 1439-1236

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Abstract

Introduction: Symptomatic deep vein thrombosis is a serious complication after total knee arthroplasty, with a risk of about 4 - 5 % despite prevention with herparin. Aim of the current study was to find out about the actual status of thrombosis prophylaxis in Germany after total knee replacement, Material and Methods: In a countrywide survey 470 German trauma and orthopaedic surgery departments were asked about their prophylactic procedures addressing deep vein thrombosis after total knee replacement. Results: 98 % perform prevention of thrombosis with low-molecular-weight heparin, 2% use unfractioned heparin. Low-molecular-weight heparin is applicated in standard doses in 48 % and in 44% according to patient's weight. In 82 % the prophylaxis is begun the night before surgery. The therapy is carried out for 4.7 weeks in mean. 96% use graduated compressions stocking as additional therapeutic option. Conclusion: Our survey shows that most of the surgeons perform prevention of deep vein thrombosis according to the official guidelines.

Item Type: Article
Uncontrolled Keywords: MOLECULAR-WEIGHT HEPARIN; LOWER-LIMB ARTHROPLASTY; TOTAL HIP; VENOUS THROMBOEMBOLISM; DURATION PROPHYLAXIS; FOOT-PUMP; SURGERY; COMPRESSION; THROMBOPROPHYLAXIS; CONSENSUS; total knee replacement; prevention of deep vein thrombosis; deep vein thrombosis; national survey
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Orthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 03 Feb 2021 10:11
Last Modified: 03 Feb 2021 10:11
URI: https://pred.uni-regensburg.de/id/eprint/34147

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