Deep venous thrombosis following Charnley arthroplasty.
Deep venous thrombosis following Charnley arthroplasty.
复制标题
查恩利关节置换术后深静脉血栓形成。
DOI：
10.1097/00003086-197805000-00007
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发表时间：
1978
影响因子：
4.2
通讯作者：
R. Loynes
中科院分区：
文献类型：
--
作者：
R. Johnson;J. Carmichael;H. Almond;R. Loynes
对50例Charnley全髋关节置换术患者进行了静脉造影检查。血栓形成的总发生率为54%。大部分血栓形成于术后第二周，以手术侧为主，并在整个静脉系统中分布。术前临床和静脉造影评估对预测术后血栓形成没有价值。在“敏感区域”形成的血栓很少，这一事实表明，关节成形术的Charnley技术和使用丙烯酸骨水泥产生的热量在术后血栓形成中几乎没有作用，而是手术诱导了全身高凝状态。
A venographic investigation has been carried out on 50 patients undergoing Charnley total hip replacement. The overall incidence of thrombus formation was 54%. Most of the thrombi formed in the second postoperative week, with a preponderance for the operated side, and were sevenly distributed throughout the venous system. The preoperative assessment both clinical and venographic was of no value in predicting thrombus formation postoperatively. The fact that few thrombi formed in the "sensitive area" indicates that the Charnley technique of arthroplasty and the heat generated using acrylic cement has little part to play in the formation of postoperative thrombi, rather that a generalized hypercoagulable state is induced by the operation.