Incidence of deep vein thrombosis following hip fracture survery at Tribhuvan University Teaching Hospital

Authors

  • Bishnu Pokharel B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Sharma Poudel Tribhuvan University Teaching Hospital, Kathmandu, Nepal
  • Lakhan Lal Shah Tribhuvan University Teaching Hospital, Kathmandu, Nepal

Keywords:

Deep vein thrombosis, Hip fracture surgery, Incidence

Abstract

Introduction: The incidence of venous thromboembolism (VTE) in Western population undergoing major orthopaedic surgery without any thromboprophylaxis has been reported to range from 32% to 88%. Recent studies done in Asian population however show variable results ranging from 5% to 50%. No study has yet been done to determine incidence of deep vein thrombosis (DV T) in Nepalese population. The objective of our study was to determine the incidence of DV T following hip fracture surgery.

Methods: This was a prospective descriptive study of 66 patients of 40 years and above who had undergone hip fracture surgery admitted under the Department of Orthopaedics and Trauma Surgery, TUTH, Kathmandu, Nepal. Following hip fracture surgery, screening for the evidence of DV T was done on 5th postoperative day with Doppler ultrasonography of bilateral lower limbs.

Results: The incidence of deep vein thrombosis in our study was 8% (5 of 66 patients) in the fractured limb. Three of them were distal DV T and 2 were proximal. None of the patients developed DV T in the unaffected limb.

Conclusion: The incidence of deep vein thrombosis following hip fracture surgery is less in Nepalese patients. Thrombo-prophylaxis can thus be individualized according to other risk factors rather than use routinely in patients with hip fracture.

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Author Biographies

Bishnu Pokharel, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

Department of Orthopaedics

Sharma Poudel, Tribhuvan University Teaching Hospital, Kathmandu, Nepal

Department of Radiology

Lakhan Lal Shah, Tribhuvan University Teaching Hospital, Kathmandu, Nepal

Department of Orthopaedics

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Published

2018-06-30

How to Cite

Pokharel, B., Poudel, S., & Shah, L. L. (2018). Incidence of deep vein thrombosis following hip fracture survery at Tribhuvan University Teaching Hospital. Journal of Chitwan Medical College, 8(2), 10–15. Retrieved from https://www.nepjol.info/index.php/JCMC/article/view/23731

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Section

Original Research Articles