Late occurring clinical deep vein thrombosis in joint-operated patients

Acta Orthop Scand. 2000 Feb;71(1):47-50. doi: 10.1080/00016470052943883.


In a prospective study of 4,840 patients, we determined the annual incidence of clinical deep vein thrombosis (DVT) in mobilized, discharged orthopedic-operated "high-risk" patients (hip replacement surgery, knee replacement surgery, nailed hip fracture) and assumed "low-risk" patients (diagnostic knee arthroscopy). In addition, the time from the operation to the time when the patients were readmitted with clinically suspected DVT and the distribution of radiologically-confirmed DVT were recorded. Thromboprophylaxis was routinely given for about 10 days to the high-risk groups during the hospital stay but not to patients undergoing knee arthroscopy. During 9 years, the annual incidence of DVT following major procedures was 2.1% (95% CI 1.6-2.6) vs. 0.6% (95% CI 0.2-1.1) after diagnostic knee arthroscopy. Symptoms appeared, on average, 27 (3-150) days after total hip replacement surgery, 36 (3-150) days after nailed hip fracture, 17 (6-30) days after total knee replacement and 1 (1-6) day after knee arthroscopy. In hip-operated patients, 50% of the DVTs were found in the proximal veins vs. 40% following knee arthroplasty.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Animals
  • Arthroplasty, Replacement, Hip / adverse effects
  • Arthroscopy / adverse effects
  • Cats
  • Female
  • Fracture Fixation / adverse effects
  • Hip Fractures / surgery*
  • Hip Joint / surgery*
  • Humans
  • Knee Joint / surgery*
  • Male
  • Middle Aged
  • Postoperative Complications* / diagnostic imaging
  • Prospective Studies
  • Radiography
  • Time Factors
  • Venous Thrombosis / diagnostic imaging
  • Venous Thrombosis / etiology*