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Updated: Jul 22, 2026

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
Published on: June 2, 2015
Cyclic sequential compression of the lower limb in prevention of deep venous thrombosis
Insights
Cyclic sequential compression combined with leg elevation significantly reduced deep venous thrombosis (DVT) risk in hip surgery patients. This prophylaxis method proved highly effective, lowering DVT incidence from 19% to 2%.
Area of Science:
- Orthopedic Surgery
- Vascular Medicine
- Preventive Medicine
Background:
- Deep venous thrombosis (DVT) is a significant risk following hip surgery.
- Effective prophylaxis is crucial to prevent complications.
Purpose of the Study:
- To evaluate the efficacy of cyclic sequential compression and lower limb elevation in preventing DVT.
- To compare this method against lower limb elevation alone in hip surgery patients.
Main Methods:
- 104 hip surgery patients were divided into two groups.
- One group received cyclic sequential compression plus elevation; the control group received elevation only.
- Deep venous thrombosis was diagnosed using Doppler ultrasound, phleborheography, and radioiodinated fibrinogen scanning.
Main Results:
- Only 1 patient (2%) in the compression group developed DVT.
- 10 patients (19%) in the control group developed DVT.
- The difference in DVT incidence was statistically significant (p < 0.05).
Conclusions:
- Cyclic sequential compression with lower limb elevation is an effective DVT prophylaxis for hip surgery.
- This method offers a significant reduction in DVT risk compared to elevation alone.
- Further research may explore long-term outcomes and broader applications.
Abstract:
Patients undergoing operations on the hip for either replacement or fracture were chosen for this study. Fifty-two subjects received cyclic sequential compression as well as elevation of the lower limb while another fifty-two patients were treated with only elevation of the lower limb. No other method of prophylaxis for deep venous thrombosis was employed during the study period. Support stockings were used after removal of the compression device. Doppler ultrasound, phleborheography, and, when possible, radioiodinated fibrinogen scanning were used for identification and location of thrombi. A deep-vein thrombosis developed in ten patients (19 per cent) in the control group and in only one patient (2 per cent) in the group that was treated with compression. This difference is statistically significant (p less than 0.05).
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