Prevalence Of Deep Vein Thrombosis In Individuals Suffering From Fractures Of The Intertrochantric Femur
Main Article Content
Abstract
Introduction: The incidence of deep vein thrombosis (DVT) in trauma patients
varies, and fatal pulmonary embolism(PE) may be the first manifestation. Trochanteric femoral fractures result from trauma in younger age groups and may require prolonged immobilization, associated with an increased risk of DVT. Therefore, we sought to determine the occurrence of DVT in patients with intertrochanteric femoral fractures.
Objectives: This study was initiated to assess the incidence of deep vein thrombosis (DVT) or pulmonary embolism(PE) in isolated Inter-Trochantric fractures and to determine the need for routine thromboprophylaxis in such patients
Methods: This was a prospective study conducted over a period of one and a half years. All patients with isolated femoral intertrochanteric fractures were included. Patients with other known risk factors for DVT were excluded, leaving Inter-Trochantric fracture as their only risk for DVT. All patients were evaluated clinically and by diagnostic methods such as Color Doppler, compression ultrasound, D-dimer analyzes and CT venography (when necessary). Patients were followed for 8 weeks after surgery.
Results: A total of 132 patients with Inter-Trochantric fractures were evaluated, of which 84 were men with a mean age of 46 years and 48 were women with a mean age of 57 years. A total of 18 cases of radiologically confirmed DVT were observed. Of these cases, 10 (54%) had clinical DVT. Complete thrombus resolution was observed in all patients, assessed by Color Doppler 6 weeks after diagnosis. Although the majority of cases (12) occurred in patients older than 50 years, this was not statistically significant. No incidence of PE was seen.
Conclusion: DVT occurs frequently in patients with intertrochanteric fractures, and all such patients should be routinely examined both clinically and radiologically. If surgery is delayed or the patient is bed ridden for long period, we recommend thromboprophylaxis for this subset of trauma patients
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References
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