Effect of bone cement application on the incidence of deep vein thrombosis in major joint arthroplasties
Ahmet Aslan1, Emre Ağar2, Nevres Hürriyet Aydoğan3, Tolga Atay4, Metin Lütfi Baydar4, Vecihi Kırdemir4, Ahmet Özden5
1Dr. Münif İslamoğlu Kastamonu Devlet Hastanesi, 2. Ortopedi ve Travmatoloji Kliniği, Kastamonu, Türkiye;
2Andeva Topçular Hastanesi, Ortopedi ve Travmatoloji Kliniği, Antalya, Türkiye;
3Ankara Eğitim ve Araştırma Hastanesi, 2. Ortopedi ve Travmatoloji Kliniği, Ankara, Türkiye;
4Süleyman Demirel Üniversitesi, Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, Isparta, Türkiye;
5Dr. Münif İslamoğlu Kastamonu Devlet Hastanesi Radyoloji Kliniği, Kastamonu, Türkiye
Keywords: Arthroplasty; bone cements; deep venous thrombosis; hip fractures; incidence; low molecular weight heparin; total hip replacement; total knee replacement.
Abstract
Objectives: In this study, we have investigated whether the application of bone cement has an effect on the frequency of deep vein thrombosis (DVT) in major joint arthroplasties (MJA).
Patients and methods: A total of 95 MJA cases meeting the inclusion criteria of this study between January 2004 and January 2005 were divided into cemented and cementless groups. For prophylaxis, all patients were given low molecular weight heparin (LMWH). The patients were scanned for DVT preoperatively and on the postoperative 12th day by color Doppler ultrasonography.
Results: In hip arthroplasties, in knee arthroplasties and in general, DVT was seen more frequently in cemented group, however, there was no statistically significant difference between groups in the frequency of DVT (p=0.549, p=0.749 and p=0.462, respectively). Also, there was no significant difference between the results of the different LMWH groups (p=0.616).
Conclusion: The results of this study shows that bone cement application in MJAs such as hip or knee arthroplasties has no significant effect on the frequency of DVT.