Zusammenfassung
Introduction: Symptomatic deep vein thrombosis is a serious complication after total knee arthroplasty, with a risk of about 4 - 5 % despite prevention with herparin. Aim of the current study was to find out about the actual status of thrombosis prophylaxis in Germany after total knee replacement, Material and Methods: In a countrywide survey 470 German trauma and orthopaedic surgery departments ...
Zusammenfassung
Introduction: Symptomatic deep vein thrombosis is a serious complication after total knee arthroplasty, with a risk of about 4 - 5 % despite prevention with herparin. Aim of the current study was to find out about the actual status of thrombosis prophylaxis in Germany after total knee replacement, Material and Methods: In a countrywide survey 470 German trauma and orthopaedic surgery departments were asked about their prophylactic procedures addressing deep vein thrombosis after total knee replacement. Results: 98 % perform prevention of thrombosis with low-molecular-weight heparin, 2% use unfractioned heparin. Low-molecular-weight heparin is applicated in standard doses in 48 % and in 44% according to patient's weight. In 82 % the prophylaxis is begun the night before surgery. The therapy is carried out for 4.7 weeks in mean. 96% use graduated compressions stocking as additional therapeutic option. Conclusion: Our survey shows that most of the surgeons perform prevention of deep vein thrombosis according to the official guidelines.
Altmetric