Open Access, Peer-reviewed
pISSN 1226-2102
eISSN 2005-8918
    J Korean Orthop Assoc. 2008 Jun;43(3):294-300. Korean.
    Published online Jun 30, 2008.
    https://doi.org/10.4055/jkoa.2008.43.3.294
    Copyright © 2008 The Korean Orthopaedic Association
    Original Article

    Diagnosis of the Deep Vein Thrombosis with Multidetector-Row Computed Tomographic Venography after Total Knee Arthroplasty

    Eun Kyoo Song, M.D., Jong Keun Seon, M.D., Sang Jin Park, M.D., Seong Beom Cho, M.D. and Min Sun Choi, M.D.
      • Department of Orthopedics, Chonnam National University Medical School, Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Korea.
    • Address reprint requests to Eun-Kyoo Song, M.D. Department of Orthopaedic Surgery, Chonnam National University Hwasun Hospital, 160, Ilsimri, Hwasun-eup, Hwasun-gun, Jeonnam 519-809, Korea. Tel: +82.61-379-7676, Fax: +82.61-379-7681, Email: eksong@chonnam.ac.kr

    Abstract

    Purpose

    Using the 64-channel multidetector-row computed tomographic venography (MDCT venography), we tried to know the incidence of the deep vein thrombosis (DVT) after total knee arthroplasty and the effectiveness of MDCT venography.

    Materials and Methods

    From April 2006 to December 2006, two groups of 280 consecutive patients, who underwent primary total knee arthroplasty, were enrolled in this study. We performed antithrombotic chemotherapy on the patients who were confirmed to have symptomatic DVT.

    Results

    For the first 140 consecutive cases, DVT was found in 48 (34%) patients and only 5 (3.6%) showed clinical symptoms of DVT. For the next 140 cases, 12 (8.6%) cases showed symptoms of DVT and in them 7 (5.0%) of these cases was diagnosed with symptomatic DVT. All the patients had recovered at the last follow-up and no other complications occurred in our series.

    Conclusion

    Sixty four-channel MDCT venography is valuable as a diagnostic test for DVT after total knee arthroplasty in terms of efficacy and accuracy. Antithrombotic chemotherapy is recommended after confirming the diagnosis with MDCT venography only for the patients with symptoms of DVT.

    Keywords
    Total knee arthroplasty; Deep vein thrombosis; MDCT venography

    Figures

    Fig. 1
    A 64-year old woman, who underwent total knee arthroplasty on her right knee, was diagnosed with deep vein thrombosis in the popliteal area by multidetector-row computed tomographic venography.

    Tables

    Table 1
    Comparison of General Factors between Two Groups

    Table 2
    The Locations of Thrombi in 48 and 7 Patients with Deep Vein Thrombosis Positive via Multidetector-row Computed Tomographic Venography after Total Knee Arthroplasty for Each Group

    Table 3
    The Number of Patients according to the Presence of Symptoms of Deep Vein Thrombosis

    References

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    MeSH Terms
    Arthroplasty
    Diagnostic Tests, Routine
    Follow-Up Studies
    Humans
    Incidence
    Knee
    Phlebography
    Venous Thrombosis
    Metrics
    Share
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