Complications related to therapeutic anticoagulation in total hip arthroplasty
Data(s) |
01/01/2013
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Resumo |
Bleeding related wound complications cause significant morbidity in lower limb arthroplasty surgery. Patients who require therapeutic anticoagulation in the peri operative period are potentially at higher risk of these complications. This is a retrospective case control study reviewing all primary total hip replacements performed in a single center over a five year period and comparing outcomes of the patients on warfarin with a double-matched control group of patients not on warfarin. The warfarin group had significantly higher risk of deep joint infection (9% vs 2.2%), haematoma/ wound ooze (28% vs 4%) and superficial infection (13.5% vs 2.2%). Managing the total hip arthroplasty patient with therapeutic anticoagulation is a balance between the risk of thromboembolic disease and bleeding related complications. Improved understanding of this risk will better allow the patient to make an informed decision regarding their elective arthroplasty surgery. |
Formato |
application/pdf |
Identificador | |
Publicador |
Elsevier Inc |
Relação |
http://eprints.qut.edu.au/55801/2/55801.pdf DOI:10.1016/j.arth.2012.06.001 McDougall, Catherine J., Gray, Hamish S., Simpson, Philip M., Whitehouse, Sarah L., Crawford, Ross W., & Donnelly, William J. (2013) Complications related to therapeutic anticoagulation in total hip arthroplasty. The Journal of Arthroplasty, 28(1), pp. 187-192. |
Direitos |
Copyright 2013 Elsevier Inc NOTICE: this is the author’s version of a work that was accepted for publication in the Journal of Arthroplasty. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in the Journal of Arthroplasty, Volume 28, Issue 1, January 2013. DOI 10.1016/j.arth.2012.06.001” |
Fonte |
School of Chemistry, Physics & Mechanical Engineering; Faculty of Built Environment and Engineering; Institute of Health and Biomedical Innovation |
Palavras-Chave | #110314 Orthopaedics #total hip arthroplasty #anticoagulation #complications #bleeding #warfarin |
Tipo |
Journal Article |