Journal of Musculoskeletal Trauma

Original Articles

The Incidence of Venous Thromboembolism in Trauma Patients with Pelvic or Acetabular Fracture: Ji Wan Kim, Hyun Wook Chung, Young Chang Kim; J Korean Fract Soc 2012;25(4):250-256. Published online October 31, 2012; DOI: https://doi.org/10.12671/jkfs.2012.25.4.250

PURPOSE
To evaluate the incidence of venous thromboembolism (VTE) in trauma patients with pelvic or acetabular fracture and determine high risk factors.
MATERIALS AND METHODS
Twenty-three patients who had a pelvic or acetabular fracture were enrolled between March 2011 and February 2012. All patients had mechanical and chemical prophylaxis and underwent deep vein thrombosis (DVT) computed tomography around 2 weeks after injury for evaluation of VTE. The relationships between VTE and each of sex, age, body mass index, injury severity score, intensive care unit stay, transfusion, operation time, coagulopathy, and associated injury were analyzed.
RESULTS
A total of 8 patients developed VTE (34.8%), of which 5 had DVT, 2 had pulmonary embolism (PE), and one had both DVT and PE. The group with a VTE risk score of 14 or more had a significantly higher incidence of VTE.
CONCLUSION
Careful attention is needed in management of patients with pelvic or acetabular fracture.

Citations

Citations to this article as recorded by

Knowledge, Health Belief, and Preventive Behavioral Intention related to Venous Thromboembolism (VTE) of the Patients with Lower Limb Musculoskeletal System Disorders
Hye Jin Yang, Hee-Young Kang
The Journal of Korean Academic Society of Nursing Education.2013; 19(4): 531. CrossRef

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Delayed Diagnosed Thrombosis Associated with Closed Fractures Around the Knee: Byung Moon Park, Hyung Koo Yoon, Kwang Pyo Jeon, Kyung Hoom Kang, Jin Il Kim, Dong Soo Kim, Yong Jae Lee; J Korean Soc Fract 2000;13(2):289-295. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.289

Abstract PDF: PURPOSE
: The goal of this study is to decrease the chance of the lower limb loss resulting from the delayed diagnosis of arterial thrombosis after first operation in a patient of the closed fractures around the knee by early diagnosis and proper management via studying several prognostic factors.
MATERIALS AND METHODS
: We have reviewed 8 cases of delayed diagnosed arterial thrombosis patient who was follow up for 1 year or more March 1987 to February 1997, retrospectively. We have followed ip the clinical results.
RESULTS
: The amputation rate was 50%(4/8), and among associated injuries, tibial or peroneal nerve palsy was combined in 75%(6/8). The time interval from initial trauma to diagnosis was significantly different between amputation group(77hours) and non amputation group(34.25hours). Better results were obtained in cases who had early diagnosis and treated with end to end anastomosis than vein graft.
CONCLUSION
: It is very important that the vascular status should be assessed not only at the first examination but also repeatedly over the ensuing hours and days with caution, even though there was absence of ischemic sign.

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