To investigate the value of inferior vena cava filter in the treatment of hip fracture with acute deep vein thrombosis.

A retrospective study was conducted on 15 patients with hip fracture complicated with deep venous thrombosis in the the Xinjiang Uygur Autonomous Region people's Hospital from March 2010 to March 2012. There were 8 males and 7 females, aged 65-82 years, with an average age of (73±5) years. The inferior vena cava filter was inserted, and then the hip replacement was performed. After the operation, the postoperative venous thrombosis, Harris score and imaging improvement were evaluated.

All patients were followed up for 1 to 12 months and successfully completed the operation without pulmonary embolism and other serious complications. The rotor fractures all achieved bone healing, the femoral shaft was stable, no loosening. Blood routine, ESR and CRP showed no signs of infection. The Harris score increased from preoperative (16±12) to the last follow-up (86±6), and the difference was statistically significant (t=-36.594, P<0.001). No thrombosis around the filter and related complications were found in all patients. Ten cases of thrombosis disappeared, 5 cases of thrombosis reduced, postoperative functional recovery satisfaction.

Preoperative placement of inferior vena cava filter for hip replacement with acute deep venous thrombosis can improve the safety of operation, help patients get out of bed early and improve their quality of life.