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01-07-2011 | Original Paper

Risk of postoperative venous thromboembolism in Indian patients sustaining pelvi-acetabular injury

Authors: Ramesh Kumar Sen, Amit Kumar, Sujit Kumar Tripathy, Sameer Aggarwal, N. Khandelwal, Sakthivel R. R. Manoharan

Published in: International Orthopaedics | Issue 7/2011

Abstract

Most surgeons believe that Asians have a low risk of developing venous thromboembolism (VTE) and routine thromboprophylaxis therapy is not required after major orthopaedic trauma. This study evaluates the postoperative risk of VTE in Indian patients sustaining pelvi-acetabular injury. Fifty-six patients with pelvi-acetabular injury, who underwent open reduction and internal fixation, were prospectively evaluated for VTE in the postoperative period. They were evaluated, both clinically and radiologically (pulmonary CT angiography and indirect venography of lower limb and pelvis veins), until six weeks after surgery. A total of 16 patients developed VTE, of which 12 had proximal deep vein thrombosis (DVT), ten had pulmonary embolism (PE) and only two had distal DVT. Six patients with proximal DVT had associated PE. The risk of development of VTE among Indian patients after pelvi-acetabular injury is high (28.6%) with increasing chances of proximal DVT and PE; hence, administration of routine thromboprophylaxis is fully justified in them.

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Title: Risk of postoperative venous thromboembolism in Indian patients sustaining pelvi-acetabular injury
Authors: Ramesh Kumar Sen
Amit Kumar
Sujit Kumar Tripathy
Sameer Aggarwal
N. Khandelwal
Sakthivel R. R. Manoharan
Publication date: 01-07-2011
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 7/2011
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-010-1093-6

At a glance: The STEP trials

Springer Medicine

Risk of postoperative venous thromboembolism in Indian patients sustaining pelvi-acetabular injury

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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