Acta Ortopédica Mexicana

Figueroa-Gama RA, Mérida-Herrera E
Total hip arthroplasty and venous thromboembolism disease
Acta Ortop Mex 2004; 18 (4)

Language: Español
References: 17
Page: 129-133
PDF: 46.80 Kb.

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A multicentric investigation was practiced in fourteen different medical centers in the country (161 cases) in total hip arthroplasty (THA) patients with high risk for developing a venous thromboembolism disease (VTD). No one of them has hematologic pathologies or tumoral processes. All of them took 40 mg subcutaneous of Low -Molecular- Weight-Heparins before surgery process up to at least ten days after it. All these patients had one to five risk factors of VTD. Tobacco was dominant in men and fatness and hypertension in females. 80% of these cases, hemoglobin was more than 10 mg and hematocrit more than 30. Three cases with bleeding more than normal average of THA, but with no adverse reactions. Nobody presented subsequent clinical data of VTD and this is why it’s better previously know all risk factors of each patients and face them . Even better to avoid fearing bleeding and use anti coagulants before any bad experience.

Key words: arthroplasty, replacement, hip, tromboembolism.