This study compares the incidence of venous thromboembolic event (VTE) in 55 patients (110 knees) undergoing simultaneous bilateral TKA with 287 patients (287 knees) undergoing unilateral TKA using a mobile compression device as monotherapy prophylaxis in both groups. All patients were clinically evaluated 3 months after surgery with symptomatic confirmed VTE as an endpoint. Deep venous thrombosis (DVT) was documented by duplex ultrasound and pulmonary embolism (PE) was documented by spiral CT. The simultaneous bilateral TKA group had 6 VTEs (10.9%) with 2 PEs (3.6%). The unilateral TKA group had 9 VTEs (3.1%), and 0 PE. Patients undergoing simultaneous bilateral TKA yielded more than twice the rate of VTE compared with patients undergoing unilateral TKA using a mobile compression device as sole thromboprophylactic modality.
CoxaPro
> Clinical Library > Welcome to the joint replacement clinical library > Thrombosis Incidence in Unilateral vs. Simultaneous Bilateral Total Knee Arthroplasty with Compression Device Prophylaxis
The Journal of Arthroplasty, Volume 28, Issue 3, 474 - 478
Knee
Thrombosis Incidence in Unilateral vs. Simultaneous Bilateral Total Knee Arthroplasty with Compression Device Prophylaxis
Levy, Yadin D. et al.Knee