2023 ISAKOS Biennial Congress In-Person Poster
Evaluation of Early Deep Vein Thrombosis By Lower Extremity Vein Ultrasound After High Tibial Osteotomy
Atsushi Sato, MD, PhD, Koto-Ku, Tokyo JAPAN
Jun Oike, MD,PhD, Koto, Tokyo JAPAN
Masataka Ota, MD, Tokyo JAPAN
Kanako Izukashi, MD, Yokohama, Kanagawa JAPAN
Saki Yagura, MD, Kawasakishi Miyamaeku, Kanagawa JAPAN
Takayuki Okumo, MD, PhD, Tokyo, Tokyo JAPAN
Naoki Okuma, MD, Yokohama, Kanagawa JAPAN
Takayuki Koya, MD, PhD, Chicago, IL UNITED STATES
Fumiyoshi Kawashima, MD, Tokyo JAPAN
Hiroshi Takagi, MD, PhD, Tokyo JAPAN
Koji Kanzaki, Prof., Yokohama JAPAN
Department of Orthopedic Surgery, Showa University Koto Toyosu Hospital, Tokyo, JAPAN
FDA Status Not Applicable
Summary
Recognizing the high incidence of DVT after OWHTO, careful perioperative management was considered necessary.
Abstract
Purpose
There are some reports on the incidence of DVT after medial open wedge high tibial osteotomy (OWHTO), but its prevention and treatment are controversial. Therefore, we aimed to examine the incidence of DVT in the early postoperative period of OWHTO performed at our hospital.
(Subjects and Methods) The subjects were 48 patients (50 knees) who underwent OWHTO at our institution, with an average age of 59.5 years and an average BMI of 25.6 kg/m2. No prophylactic anticoagulant was applied, and DVT examination with lower limb vein echogram was performed on average 3.9 days after surgery.
Results
DVT was observed in 23 cases (47.9%). All cases were asymptomatic distal DVT with 20 cases (41.6%) on the affected side, 3 cases (6.3%) on both sides, and no occurrence on the healthy side.There was no significant difference between the DVT group and the non-DVT group including 6 months clinical results.
Discussion
Similar to the reports of various research, it was considered necessary to manage the perioperative period, recognizing that the incidence of DVT after OWHTO is high.