| 标题 |
Prevention of deep vein thrombosis after total knee arthroplasty: Coumadin versus pneumatic calf compression
预防全膝关节置换术后深静脉血栓形成：香豆定与小腿气压加压的比较
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| 其它 |
author:Hodge, W. A. journal:Clinical Orthopaedics and Related Research pages:101-105 abstract:The rate of deep vein thrombosis (DVT) after total knee arthroplasty (TKA) without prophylaxis has been reported as high as 84%. Coumadin anticoagulation and pneumatic calf compression (PCC) boots are two current therapies that have been thought to be effective in reducing this high rate of DVT. To investigate these two methods, a nonrandomized prospective study was designed. The first group involved treating 48 consecutive knee arthroplasties with a regimen of coumadin anticoagulation. The second group involved 81 consecutive knee arthroplasties treated with sequential PCC boots. Bilateral lower extremity venography was performed between the eighth and tenth hospital postoperative days. The overall incidence of DVT in the coumadin group was 33%, with 29% having calf thrombi and 6% having thigh thrombi. |
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