| ORIGINAL ARTICLE |
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| Year : 2017 | Volume
: 58
| Issue : 1 | Page : 32-36 |
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Should venous doppler ultrasonography be routinely applied before lower extremity major orthopedic surgery?
Hasan Gocer1, Ali Kemal Yazici2, Ahmet Veysel Polat3
1 Department of Orthopaedics, Hospital of Ondokuz Mayis University, Samsun, Turkey
2 Department of Orthopaedics, Gota Hospital, Samsun, Turkey
3 Department of Radiology, Hospital of Ondokuz Mayis University, Samsun, Turkey
Correspondence Address:
Hasan Gocer
Department of Orthopaedics, Faculty of Medicine, Hospital of Ondokuz Mayis University, Kurupelit, Atakum, Samsun
Turkey
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0300-1652.218410
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Background: Hip-knee arthroplasty and knee arthroscopy (KA) is frequently applied in the orthopaedic surgery. The approach does not exist related with the preoperative asymptomatic deep venous thrombosis (DVT). In this study, the patients who would undergo surgery lower extremity were screened for asymptomatic DVT, using the venous Doppler ultrasonography (USG). Patients and Methods: DVT was screened by venous Doppler USG in the patients who would undergo hip-knee arthroplasty and KA between the dates of November 2013 and September 2015. The patients were investigated regarding the age, gender, and the planned operation. The cases were separated to the following three groups: group I (<49 years), Group II (49–69 years), and Group III (≥70 years). Results: The study included 222 patients; of these, 174 were female and 48 were male. Group I, Group II, and Group III included 45, 115, and 62 patients, respectively. Of the six patients determined to exist with DVT, 2 (1.73%) were in Group II, and 4 (6.45%) were in Group III. Conclusion: Although the differences were not found to be statistically significant, it may be useful to screen asymptomatic DVT by Doppler USG in the preoperative period in the 70-year-old male patients, and in those over 70. |
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