Abstract
The Journal of Bone and Joint Surgery. British volumeVol. 79-B, No. 4 KneeFree AccessVENOUS HAEMODYNAMICS IN BOTH LEGS AFTER TOTAL KNEE REPLACEMENTM. A. McNally, R. Bahadur, E. A. Cooke, R. A. B. MollanM. A. McNallyFellow in Limb Reconstruction SurgerySearch for more papers by this author, R. BahadurBritish Council FellowSearch for more papers by this author, E. A. CookeOrthopaedic RegistrarSearch for more papers by this author, R. A. B. MollanConsultant Orthopaedic SurgeonSearch for more papers by this authorPublished Online:1 Jul 1997https://doi.org/10.1302/0301-620X.79B4.0790633AboutSectionsPDF/EPUB ToolsAdd to FavouritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InRedditEmail AbstractWe studied the effect of total knee replacement on venous flow in 110 patients. Resting venous blood flow was measured using straingauge plethysmography before operation, after surgery and after discharge from hospital. There was a significant reduction in mean venous capacitance (p < 0.001) and mean venous outflow (p < 0.004) affecting only the operated leg. Both improved significantly after mobilisation in the early postoperative period, returning to preoperative levels by six days after surgery and before discharge from hospital.Our findings showed that venous stasis may contribute to deep-vein thrombosis only in the first few days after total knee replacement. This would be the most important period for the use of flow-enhancing prophylactic devices.Comparison with changes in blood flow after total hip replacement identified different patterns of altered haemodynamics suggesting that there are different mechanisms of venous stasis and thrombogenesis in hip and knee arthritis and during surgery for these conditions.FiguresReferencesRelatedDetailsCited byDeep Vein Thrombosis: Prophylaxis and Management4 June 2022Prevention of thromboembolism in orthopedic surgery: Application of rivaroxaban in arthroplastic proceduresGalenika Medical Journal, Vol. 1, No. 3Rehabilitation Treatment in the Presence of Deep Vein Thrombosis in the Field of OrthopedicsThe Japanese Journal of Rehabilitation Medicine, Vol. 58, No. 7Venous thromboembolism rates after hip and knee arthroplasty and hip fractures12 February 2020 | BMC Musculoskeletal Disorders, Vol. 21, No. 1Frequency and timing of clinical venous thromboembolism after major joint surgeryB. T. Bjørnar̊, T. E. Gudmundsen, O. E. Dahl1 March 2006 | The Journal of Bone and Joint Surgery. British volume, Vol. 88-B, No. 3Editorial introductionsCurrent Opinion in Orthopaedics, Vol. 17, No. 1Graduated Compression StockingsClinical Orthopaedics and Related Research, Vol. 383 Vol. 79-B, No. 4 Metrics History Published online 1 July 1997 Published in print 1 July 1997 InformationCopyright © 1997, The British Editorial Society of Bone and Joint Surgery: All rights reservedPDF download
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