• Medientyp: E-Artikel
  • Titel: Is deep venous thrombosis a common complication in patients treated with Ilizarov external fixator?
  • Beteiligte: Reddy, Sandeep; Shah, Harshad M.; L., Naveen Kumar; P., Rahul; K. H., Vimal Kumar
  • Erschienen: Medip Academy, 2017
  • Erschienen in: International Journal of Research in Orthopaedics, 3 (2017) 6, Seite 1180
  • Sprache: Nicht zu entscheiden
  • DOI: 10.18203/issn.2455-4510.intjresorthop20174710
  • ISSN: 2455-4510
  • Schlagwörter: General Medicine
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <p class="abstract"><strong>Background:</strong> Determining the incidence of deep venous thrombosis (DVT), a prospective study, in patients treated with Ilizarov external fixators for lower extremity fractures, fracture non unions or deformity correction.</p><p class="abstract"><strong>Methods:</strong> A Prospective, observational and cross sectional study. 49 Patients with complex lower extremity injuries, deformities and non-union of fractures were treated with Ilizarov external fixator application, were assessed clinically and radiological (Venous Doppler) at regular intervals- 6 days post-surgery then at 6 weeks, 12 weeks and between 4 to 6 months post-operative. None were given chemoprophylaxis for the prevention of DVT and everyone were assessed pre operatively with a questionnaire and wells criteria was taken for assessment of high risk for developing venous thrombosis. There were 41 men and 8 women, 85.75% of the study group is of age 30 to 60 years.<strong></strong></p><p class="abstract"><strong>Results:</strong> Only 1 of 49 patients developed radiological evident DVT within 6 days of surgery. Patients who underwent application of Ilizarov external fixator electively for deformity correction, osteomyelitis and non-union showed no clinical or radiological evident signs of DVT.</p><p><strong>Conclusions:</strong> The incidence of DVT and PTE is minimal when patients without chemoprophylaxis underwent lower limb Ilizarov external fixator application for acute trauma and electively for deformity correction, treatment of non-union and osteomyelitis. However further comparative and randomized studies need to be done to confirm our results.</p>