AI Article Synopsis
- * Of the patients studied, 12.1% were found to have DVT, with higher rates in those undergoing multi-ligament reconstruction, particularly involving the posterior cruciate ligament (PCL).
- * The results indicate that the risk of DVT increases with the duration of tourniquet use during surgery, suggesting the need for preventive measures for patients with specific risk factors after such procedures.
Article Abstract
Purpose: This study investigated the incidence of deep venous thrombosis (DVT) in patients undergoing arthroscopic cruciate ligament surgery.
Methods: A total of 282 patients were examined by color Doppler ultrasound preoperatively and 3 and 7 days postoperatively.
Results: DVT was present in 34 of 282 patients (12.1 %); of these, 11 (32.6 %) underwent reconstruction of the anterior cruciate ligament (ACL), alone or in conjunction with the medial or lateral collateral ligament (MCL or LCL, respectively; 17.6 %); eight (23.5 %) of the posterior cruciate ligament (PCL); four (11.8 %) of the PCL-MCL/LCL; and five (14.7 %) of the ACL-MCL. In patients with tourniquets applied for <90, 90-120, and >120 min, the incidence of DVT was 5.6, 12.8, and 17.4 %, respectively.
Conclusion: The incidence of DVT in normal patients undergoing ACL surgery was 12.1 %. A higher incidence was observed among cases of multiligament reconstruction, especially those involving the PCL, as well as in patients with tourniquets applied for more than 2 h. Based on these findings, prophylactic measures for DVT may be considered after arthroscopic knee surgery in order to decrease the incidence of DVT if specific risk factors are present.
Levels Of Evidence: IV.
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| http://dx.doi.org/10.1007/s00167-014-3216-x | DOI Listing |
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