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Incidence of postthrombotic syndrome in patients undergoing primary total knee arthroplasty for osteoarthritis
Clinical Orthopedics and Related Research, 06/23/09

McAndrew CM et al. - Study reports that postthrombotic syndrome (PTS) does not seem to be a major sequela of deep venous thrombosis (DVT) in patients undergoing primary total knee arthroplasty (TKA) for osteoarthritis (OA).

Methods

Aim was to determine the incidence of PTS after DVT diagnosed on screening ultrasound in pts undergoing primary TKA for OA
Records of 1406 pts who underwent primary TKA for OA were compared with the incidence of PTS in pts w/o and with DVT
All pts had postoperative screening ultrasound
From these 1406 pts, 66 (4.7%) had DVT, 50 of whom had a minimum of 1 yr f/u (mean, 4.97 yrs)

Results

PTS was diagnosed if any two of six signs were documented in the medical record
3 of 50 pts with DVT (6%) had signs consistent with PTS
2 of these 3 had a DVT proximal to the soleal arch
7 of 88 (8%) pts randomly chosen for primary TKA because of OA with similar mean age and gender, but w/o DVT, had signs of PTS

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