Novosti
Khirurgii

 This journal is
indexed in Scopus
journal cover
android icon Android Applicaion

Year 2010 Vol. 18 No 1

LECTURES, REVIEWS

T.N. GRINEVICH

VENOUS THROMBOSES IN TRAUMATOLOGY AND ORTHOPEDICS: DIFFICULTIES OF DIAGNOSTICS

In the review the data are given about significance of the problem of hemostasis disturbance after operations in case of fractures of long tubular bones and big orthopedic operations relating to surgical operations with high risk of thromboembolic episodes development, and also well-timed and high-grade diagnostics of these severe complications. Data value of clinical inspection in these patients is insignificant. Tool methods allow diagnosing already generated thromboembolic masses. It is not enough to carry out corresponding preventive and medical actions. One manages to reveal prethrombosis condition only using laboratory methods. Among the laboratory tests available today only determination of D-dimer level can help to make clear the thrombotic risk in a patient. However this test possesses high diagnostic sensitivity only in the late posttraumatic phase and at the same time possesses low specificity, especially in the patients of a traumatology-orthopedic profile. Therefore, determination of D-dimer can be insufficient to exclude the diagnosis of a venous thrombosis in this group of patients.

Keywords: hemostasis, thrombosis, endoprosthesis, D-dimers
p. 124 -132 of the original issue
References
  1. Савельев, В. С. Флебология: руководство для врачей / В. С. Савельев, В. А. Гологорский, А. И. Кириенко; под ред. В. С. Савельева. – Москва: Медицина, 2001. – 664 с.
  2. Low-molecular-weight heparin (enoxaparin) as prophylaxis against venous thromboembolism after total hip replacement / D. Bergqvist [et al.] // Engl. J. Med. – 1996. – Vol. 5, N 10. – P. 696-700.
  3. Prevention of venous Thromboembolism / W. H. Geerts [et al.] // Chest. Sixth ACCP Consensus Conference of Antithrombotic Therapy. – 2001. – Vol. 119, N 1. – P. 132S-175S.
  4. Altered regulation of in-vivo coagulation in orthopedic patients prior to knee or hip replacement surgery / S. Craven [et al.] // Blood Coagul. Fibrinolysis. – 2007. – Vol. 18, N 3. – P. 219-225.
  5. Bergqvist, D. Cost-effectiveness of venous thromboembolism prophylaxis in surgery / D. Bergqvist // Eur. J. Surg. Suppl. – 1994. – Vol. 571. – P. 49-53.
  6. Ultrasound surveillance for asymptomatic deep venous thrombosis after total joint replacement / W. J. Ciccone [et al.] // J. Bone Joint Surg. Am. – 1998. – Vol. 80, N 8. – P. 1167-1174.
  7. Recent advances in venous thromboembolic prophilaxis during and after total hip replacement: Simposium / E. A. Salvati [et al.] // J. Bone Jt. Surg. – 2000. – Vol. 82A. – P. 252-270.
  8. Detection of asymptomatic venous thrombosis after lower limb prosthetic surgery. Retrospective evaluation of a systematic approach using Doppler ultrasonography: 400 cases / E. De Thomasson [et al.] // Presse Med. – 2000. – Vol. 29, N 8. – P. 351-356.
  9. Asymptomatic thrombo-embolic venous disease before total hip replacement – when the risk is important? / M. Jablonski [et al.] // Chir. Narzadow Ruchu Ortop. Pol. – 2008. – Vol. 73, N 6. – P. 381-385.
  10. Clinical risk factors for deep vein thrombosis after total hip and knee arthroplasty / Z. P. Guan [et al.] // Zhonghua Wai Ke Za Zhi. – 2005. – Vol. 15, N 43 (20). – P. 1317-1320.
  11. The impact of the AIS 2005 revision on injury severity scores and clinical outcome measures / K. Salottolo [et al.] // Injury. – 2009. – Vol. 40, N 9. – P. 999-1003.
  12. Revisiting the validity of APACHE II in the trauma ICU: improved risk stratification in critically injured adults / L. A. Dossett [et al.] // Injury. – 2009. – Vol. 40, N 9. – P. 993-998.
  13. Загородний, Н. В. Профилактика тромбоэмболичнских осложнений у ортопедических больных при эндопротезировании крупных суставов / Н. В. Загородний // Профилактика тромбоэмбол. осложнений в травматологии и ортопедии: материалы город. симпозиума. – Москва, 2003. – C. 34.
  14. Predictors of rehospitalization for symptomatic venous thromboembolism after total hip arthroplasty / R. H. White [et al.] // Engl. J. Med. – 2000. – Vol. 343, N 24. – P. 1758-1764.
  15. Venous thromboembolic disease after total hip and knee arthroplasty: current perspectives in a regulated environment / V. D. Jr. Pellegrini [et al.] // Instr. Course Lect. – 2008. – Vol. 57. – P. 637-661.
  16. Intermittent pneumatic compression prophylaxis for proximal deep venous thrombosis after total hip replacement / S. T. Woolson [et al.] // J. Bone Joint Surg. Am. – 1996. – Vol. 78, N 11. – P. 1735-1740.
  17. Венозные тромбоэмболические осложнения при травмах нижних конечностей и эндопротезировании тазобедренного и коленного суставов / Н.Ю. Матвеева [и др.] // Вестник травматологии и ортопедии им. Н.Н. Пирогова. – 2002. – № 2. – С. 54-57.
  18. Incidence and time course of thromboembolic outcomes following total hip or knee arthroplasty / R. H. White [et al.] // Arch. Intern. Med. – 1998. – N 158. – P. 1525-1531.
  19. Bick, R. L. Syndromes of thrombosis and hypercoagulability. Congenital and acquired causes of thrombosis / R. L. Bick, H. Kaplan // Med. Clin. North Am. – 1998. – Vol. 82. – P. 409-458.
  20. Rosendaal, F. R. Venous thrombosis: a multicausal disease / F. R. Rosendaal // Lancet. – 1999. – N 353. – P. 1167-1173.
  21. Changes in coagulability as measured by thrombelastography following surgery for proximal femoral fracture / D. Wilson [et al.] // Injury. – 2001. – N 32. – P. 765-770.
  22. Венозный тромбоэмболизм: лечение и профилактика / И. Н. Бокарев [и др.] // Consilium medicum. – 2005. – Т. 7, № 1. – С. 40.
  23. Diagnostic imaging in deep vein thrombosis of the limbs / M. Salcuni [et al.] // Rays. – 1996. – N 21. – P. 328-339.
  24. Sequential mechanical and pharmacological thromboprophylaxis in the surgery of hip fractures / M. B. Eskander [et al.] // A pilot study. Int. Orthop. – 1997. – Vol. 21, N 4. – P. 259-261.
  25. Ultrasonographic screening before hospital discharge for deep venous thrombosis after arthroplasty: the post-arthroplasty screening study. A randomized, controlled trial / K. S. Robinson [et al.] // Ann. Intern. Med. – 1997. – N 127. – P. 439-445.
  26. Optimization of ascending phlebography of the leg for screening of deep vein thrombosis in thromboprophylactic trials / P. Kalebo [et al.] // Acta Radiol. – 1997. – Vol. 38, N 2. – P. 320-326.
  27. Ultrasound screening for asymptomatic deep vein thrombosis after major orthopaedic surgery: the VENUS study / S. M. Schellong [et al.] // J. Thromb. Haemost. – 2007. – Vol. 5, N 7. – P. 1431-1437.
  28. Albrechtsson, U. Thrombotic side-effects of lower-limb phlebography / U. Albrechtsson, C. G. Olsson // Lancet. – 1976. – N 1. – P. 723-772.
  29. Contrast venography of the leg: diagnostic efficacy, tolerance, and complication rates with ionic and nonionic contrast media / M. A. Bettmann [et al.] // Radiology. – 1987. – Vol. 165. – P. 113-116.
  30. Postoperative surveillance for deep venous thrombosis with duplex ultrasonography after total knee arthroplasty / J. C. Grady-Benson [et al.] // J. Bone Joint Surg. Am. – 1994. – Vol. 76, N 11. – P. 1649-1657.
  31. Deep venous thrombosis after total joint arthroplasty. The role of compression ultrasonography and the importance of the experience of the technician / J. P. Garino [et al.] // J. Bone Joint. Surg. Am. – 1996. – Vol. 78, N 9. – P. 1359-1365.
  32. Its color-flow duplex a good diagnostic test for detection of isolated calf vein thrombosis in high-risk patients? / M. K. Eskandari [et al.] // Angiology. – 2000. – Vol. 51, N 9. – P. 705-710.
  33. Балахонова, Т. В. Современные инструментальные методы диагностики венозного тромбоза: ультразвуковое дуплексное сканирование / Т. В. Балахонова // Профилактика тромбоэмбол. осложнений в травматологии и ортопедии: материалы город. симпозиума, Москва, 10 дек., 2002 г. – 2003. – С. 7-10.
  34. Sensitivity and specificity of helical computed tomography in the diagnosis of pulmonary embolism: a systematic review / S. W. Rathbun [et al.] // Arch. Intern. Med. – 2000. – Vol. 132. – P. 227-232.
  35. The use of spiral computed tomography scans for the detection of pulmonary embolism / H. J. Kim [et al.] // J. Arthroplasty. – 2008. – Vol. 23, N 6. – P. 31-35.
  36. Evaluation of a new rapid quantitative d-dimer assay in patients with clinically suspected deep vein thrombosis / A. D’Angelo [et al.] // Thromb. Haemost. – 1996. – Vol. 75, N 3. – P. 412-416.
  37. Comparison of immunofiltration assay of plasma d-dimer with diagnostic imaging in deep vein thrombosis / G. W. T. Janssen [et al.] // Br. J. Haematol. – 1997. – Vol. 96, N 4. – P. 846-849.
  38. Exclusion of acute pulmonary embolism: computed tomography pulmonary angiogram or D-dimer? / C. W. Eng [et al.] // Singapore Med. J. – 2009. – Vol. 50, N 4. – P. 403-406.
  39. Brill-Edwards, P. D-dimer testing in diagnosis of acutevenous thromboembolism / P. Brill-Edwards, A. Lee // Thromb. Haemost. – 1999. – Vol. 82, N 2. – P. 688-694.
  40. Левин, Г. Я. Оценка эффективности и безопасности длительного применения клексана после эндопротезирования коленного сустава / Г. Я. Левин // Тромбоз, гемостаз и реология. – 2003. – № 4 (16). – С. 62-65.
  41. Venous thromboembolism in trauma: an update for the intensive care unit practitioner / F. Rogers [et al.] // J. Intensive Care Med. – 2007. – Vol. 22, N 1. – P. 26-37.
  42. Preoperative hypercoagulopathy in patients undergoing orthopedic lower extremity surgery / K. Okamura [et al.] // Masui. – 2008. – Vol. 57, N 10. – P. 1207-1212.
  43. D-Dimer in the diagnosis of deep vein thrombosis following total hip and knee replacement: a prospective study / A. Rafee [et al.] // Ann. R. Coll Surg. Engl. – 2008. – Vol. 90, N 2. – P. 123-126.
  44. Normal D-dimer levels do not exclude thrombotic complications in trauma patients / W. L. Wahl [et al.] // Surgery. – 2003. – Vol. 134, N 4. – P. 529-532.
Contacts | ©Vitebsk State Medical University, 2007-2023