Unexpectedly high incidence of venous thromboembolism after arthroscopic anterior cruciate ligament reconstruction: prospective, observational study
Masaki Nagashima, Toshiro Otani, Kenichiro Takeshima, Hiroyuki Seki, Masanori Nakayama, Nobuto Origuchi, Ken Ishii
Abstract
The incidences of DVT and PE after ACLR were investigated using ultrasonography and contrast-enhanced CT without pharmacological prophylaxis. The incidences of asymptomatic DVT and PE were revealed to be 16.4% and at least 7.3%, respectively. These incidences, especially PE, were unexpectedly high and might suggest a need for thromboprophylaxis. Advanced age was identified as the risk factor for DVT after ACLR. Patients with advanced age should be considered for pharmacological prophylaxis after ACLR.
Topics & Concepts
MedicineSurgeryAnterior cruciate ligament reconstructionPulmonary embolismDeep veinProspective cohort studyVenous thrombosisAnterior cruciate ligamentIncidence (geometry)AsymptomaticObservational studyBody mass indexThrombosisInternal medicineOpticsPhysicsVenous Thromboembolism Diagnosis and ManagementSports injuries and preventionKnee injuries and reconstruction techniques