Incidence of post-operative deep vein thrombosis in patients with lower limb open fracture

Abstract EN

Background : Venous thromboembolic (VTE) disease with it's high morbidity and mortality is currently one of the most serious postoperative complication, (DVT) can lead to fatal pulmonary embolism (PE).

Or the development of post thrombotic syndrome.

Patients and methods : This is a prospective study which was carried on 85 patients had single lower limbopen fracture with no other major injuries in other sites of body (with the exception of superficial wounds or b r u i s e s ).

They were divided into groups according to age, gender, weight, type of fracture, methods of immobilization, duration of hospitalization, duration of operation.

All the patients including asymptomatic patients were subjected by the fourth postoperative day for duplex untrasonography study.

Results : The total number of patients with DVT that documented by Duplex study was 27 patients with in incidence of (31.76 %), the incidence of DVT is higher in proximal lower extremity fractures as around hip (45.45 %) Versus (12.5 %) in lower tibial fractures.

The incidence of DVT increased with increasing severity of open fracture ; (50 % in Gustilo type III B.

10 % in Gustilo type I).

Conclusion : Age, weight, female gender, and severe open fracture proximal part of the lower limb, long hospitalization, prolong surgery are risk factors in the development of (DVT).