Features of deep venous thrombosis in aged patients with femoral neck fracture during the perioperative period

doi:10.3877/cma.j.issn.2096-0263.2018.02.003

Abstract

Abstract:

Objective

To investigate the formation characteristics of deep venous thrombosis (DVT) in aged patients with femoral neck fracture who underwent total hip arthroplasty (THA) and treated with standard prophylatic anticoagulant therapy.

Methods

A retrospective study was performed in 363 aged patients 66±5 years cases underwent unilateral THA from January 2015 to June 2017. There were 114 male patients (31.4%) and 249 female patients (68.6%). Patients were divided into femoral neck fracture (n=187) and non-fracture (n=176) groups. Two groups were strictly complied "China's major orthopedic surgery venous thromboembolism prevention guidelines" for thromboprophylaxis. Retrospectively analyzed and compared patients with DVT occurred during the perioperative period.

Results

There were 8 patients (2 patients occurred pulmonary embolism) with DVT in fracture group and 6 patients (1 patient occurred pulmonary embolism) with DVT in non-fracture group. Differences had no statistical significance (χ²=0.185, P>0.05). In fracture group, 5 patients occurred DVT before surgery and 3 after surgery. Meanwhile all 6 patients occurred DVT after surgery in the non-fracture group, differences of DVT distribution between two groups was statistically significant (P<0.05).

Conclusions

DVT was easy formed before and after surgery in elderly femoral neck fracture patients with THA. For these specific groups, prevention of DVT before operation is the priority.

Key words: Venous thrombosis, Arthroplasty, replacement, hip, Femoral neck fractures, Perioperative period

Xiangyu Chu, Wenjun Cheng, Junwen Wang, Wei Zuo, Jing Jiao, Wusheng Kan. Features of deep venous thrombosis in aged patients with femoral neck fracture during the perioperative period[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2018, 04(02): 75-79.

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References 16

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组别	例数	性别[例（%）]		年龄（岁，±s）	侧别[例（%）]		术前等待时间（d，±s）
组别	例数	男性	女性	年龄（岁，±s）	左	右	术前等待时间（d，±s）
骨折组	187	56（29.95）	131（70.05）	67±4	97（51.87）	90（48.13）	6.2±2.8
非骨折组	176	58（32.95）	118（67.05）	66±5	88（50.00）	88（50.00）	5.6±2.8
统计值	?	χ²=0.381		t=1.338	χ²=1.901		t=1.737
P值	?	0.537		0.182	0.168		0.083

组别	例数	性别[例（%）]		年龄（岁，±s）	侧别[例（%）]		术前等待时间（d，±s）
组别	例数	男性	女性	年龄（岁，±s）	左	右	术前等待时间（d，±s）
骨折组	187	56（29.95）	131（70.05）	67±4	97（51.87）	90（48.13）	6.2±2.8
非骨折组	176	58（32.95）	118（67.05）	66±5	88（50.00）	88（50.00）	5.6±2.8
统计值	?	χ²=0.381		t=1.338	χ²=1.901		t=1.737
P值	?	0.537		0.182	0.168		0.083

组别	例数	血栓发生情况	血栓发生时间[例（%）]		性别[例（%）]		侧别[例（%）]		发生概率（%）
组别	例数	[例（%）]	术前	术后	男	女	患侧	健侧	发生概率（%）
骨折组	187	8（4.28）	5（62.5）	3（37.5）	3（37.5）	5（62.5）	6（75）	2（25）	4.28
非骨折组	176	6（3.41）	0（0）	6（100）	3（50）	3（50）	6（100）	0（0）	3.41
χ²值	?	0.185	-		-		-		0.185
P值	?	0.667	0.031^*		1.000^*		0.473^*		0.667

组别	例数	血栓发生情况	血栓发生时间[例（%）]		性别[例（%）]		侧别[例（%）]		发生概率（%）
组别	例数	[例（%）]	术前	术后	男	女	患侧	健侧	发生概率（%）
骨折组	187	8（4.28）	5（62.5）	3（37.5）	3（37.5）	5（62.5）	6（75）	2（25）	4.28
非骨折组	176	6（3.41）	0（0）	6（100）	3（50）	3（50）	6（100）	0（0）	3.41
χ²值	?	0.185	-		-		-		0.185
P值	?	0.667	0.031^*		1.000^*		0.473^*		0.667

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