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Deep vein thrombosis after total hip and knee arthroplasty in Indian patients

V Jain1, B K Dhaon, A Jaiswal

  • 1Department of Orthopaedics and Radiodiagnosis, LN Hospital, New Delhi, India. vineet_leo@indiatimes.com

Postgraduate Medical Journal
|December 8, 2004
PubMed

Insights

Deep vein thrombosis (DVT) incidence is low in Indian patients undergoing total hip (THA) and total knee arthroplasty (TKA). Prophylaxis is not cost-effective for Indian patients without risk factors.

Area of Science:

  • Orthopedic Surgery
  • Vascular Medicine
  • Thromboembolism Research

Background:

  • Deep vein thrombosis (DVT) is a common complication following total hip (THA) and total knee arthroplasty (TKA).
  • The incidence of DVT varies significantly between European/American and Asian populations due to genetic and social differences.
  • The necessity and efficacy of DVT prophylaxis in Asian populations undergoing THA/TKA remain debated.

Purpose of the Study:

  • To prospectively determine the incidence of DVT in Indian patients after THA and TKA.
  • To compare DVT incidence in Indian patients with data from European and American populations.
  • To inform clinical guidelines regarding DVT prophylaxis in this demographic.

Main Methods:

  • A prospective study involving 45 patients undergoing THA and 26 patients undergoing TKA.
  • Serial color Doppler ultrasonography was used for preoperative and postoperative DVT screening.
  • No patients received prophylactic anticoagulation therapy.

Main Results:

  • Deep vein thrombosis (DVT) was detected in two patients following THA.
  • No instances of DVT were observed in patients who underwent TKA.
  • The overall incidence of DVT in this Indian cohort was notably low.

Conclusions:

  • The incidence of DVT in Indian patients undergoing THA/TKA is significantly lower than reported in Western populations.
  • Routine DVT prophylaxis may not be cost-effective for Indian patients undergoing THA/TKA without pre-existing risk factors.
  • Further research may refine DVT prophylaxis strategies for diverse ethnic groups.
Abstract

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