UDK: 616.72-089-06

ANALYSIS OF THE RISK OF DEVELOPING POSTOPERATIVE THROMBOEMBOLISM IN ELDERLY PATIENTS UNDERGOING JOINT REPLACEMENT

D. I. Ryazantsev, M. U. Prokhorova, A. D. Chensky, N. V. Petrov, G. M. Kavalersky, A. Yu. Zarov, P. I. Katunyan

Первый Московский государственный медицинский университет им. И. М. Сеченова, кафедра травматологии, ортопедии и хирургии катастроф

Abstract

The analysis included 141 patients aged 60—90 years who underwent 78 hip and 63 knee joint replacements. 12 patients in the early postoperative period were found to have thrombosis of the superficial and deep veins of the lower extremities. 2 out of 12 patients required surgical treatment. To prevent venous thromboembolism, the patients received new thrombolytic agents which have been successfully used in many European clinics. The analysis showed that the likelihood of thrombosis is directly proportional to the duration of surgery and patient’s body weight. Blood clotting factors including INR, PTT,thrombin time, prothrombin and fibrinogen as well as the extent of intraoperative blood loss are not suited to predict postoperative thrombotic complications.

Keywords

joint replacement, thrombosis, elderly patients, knee joint, hip joint.

Contacts

Прохорова Марина Юрьевна — врач травматолог-ортопед, аспирант кафедры травматологии, ортопедии и хирургии катастроф, Московский государственный медицинский университет им. И. М. Сеченова, e-mail: prkhrvmarina@rambler.ru