Deep vein thrombosis prevention with gradual compression stockinette following rapid recovery total knee arthroplasty: a case series
ESSKA Academy. Fizuhri S. Nov 8, 2019; 284362; epEKA-17 Topic: Knee
Dr. Suluh Bendang Fizuhri
Dr. Suluh Bendang Fizuhri
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Deep vein thrombosis prevention with gradual compression stockinette following rapid recovery total knee arthroplasty: a case series

ePoster - epEKA-17

Topic: TKA

Fizuhri S.B.
Awal Bros Hospital, Orthopaedic, Batam, Indonesia

Background: Rapid recovery total knee arthroplasty mobilized the patients early and reduced the length of hospital stay. There was a study shows that early mobilized TKA patients managed with 3 weeks aspirin and extended used of mechanical compression device (MCD) up to six weeks postoperatively experienced superior prophylaxis than patients having MCD only as an inpatient. Aspirin and extended MCD has 0% incidence of nonsymptomatic DVTs in low risk patients. The purpose of this study is to examined whether there is a difference in deep vein thrombosis (DVT) occurrence after extended use of gradual compression stockinete without aspirin compare to reported studies with aspirin.
Methods: Ten rapid recovery TKA patients, whose DVT risk was managed with gradual compression stockinette during hospitalization and extended use at home up to 4 weeks postoperatively. Lower extremity duplex venous ultrasonography was completed before operation, at 2 weeks postoperatively, and at 1 month postoperatively to confirm the absence of DVT after treatment.
Results: The DVT rate for this compression therapy was 0% at 2 weeks and 0% at 1 month postoperatively.
Conclusion: Rapid recovery TKA patients who were mobilized early, managed with gradual compression stockinette up to 1 moth postoperatively have 0% incidence of DVT not difference compare to managed with aspirin and extended use of MCD. Gradual compression stockinette can be used as a prophylaxis in low DVT risk TKA patients.
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