Portable Compression Device and Low-Molecular-Weight Heparin Compared With Low-Molecular-Weight Heparin for Thromboprophylaxis After Total Joint Arthroplasty

被引：54

作者：

Edwards, John Z. ^{[2
]}

Pulido, Pamela A. ^{[1
]}

Ezzet, Kace A. ^{[3
]}

Copp, Steven N. ^{[3
]}

Walker, Richard H. ^{[3
]}

Colwell, Clifford W., Jr. ^{[1
,3
]}

机构：

[1] Scripps Clin, Shiley Ctr Orthopaed Res & Educ, La Jolla, CA 92037 USA

[2] Gem City Bone & Joint, Laramie, WY USA

[3] Scripps Clin, Div Orthopaed Surg, La Jolla, CA 92037 USA

来源：

JOURNAL OF ARTHROPLASTY | 2008年 / 23卷 / 08期

关键词：

thrombosis; total hip arthroplasty; total knee arthroplasty; CECT device; low-molecular-weight heparin;

D O I：

10.1016/j.arth.2007.11.006

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This preliminary prospective study to determine the rate of deep venous thrombosis (DVT) examined 277 patients undergoing total knee or total hip arthroplast, (TKA or THA) who were randomized to use a portable, continuous enhanced circulation therapy (CECT) compression device and low-molecular-weight heparin (LMWH) or to receive LMWH alone. Patients were screened for DVT using duplex ultrasound at hospital discharge and followed clinically for 3 months. In TKA, 5 DVTs (6.6%) occurred in the CECT + LMWH group compared with one pulmonary embolism and 14 DVTs (19.5%) in the LMWH group (P =.018). In THA, I DVT (1.5%) occurred in the CECT + LMWH group and 2 DVTs (3.4%) occurred in the LMWH group. This preliminary study demonstrated significant reduction in rate of DVT after TKA when the CECT device was combined with LMWH.

引用

页码：1122 / 1127

页数：6

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