INCIDÊNCIA DE TROMBOSE VENOSA PROFUNDA EM JOELHO FLUTUANTE

Jonatas Brito de Alencar Neto; Rèjelos  Chales Aguiar Lira; Rafael da Silva Cavalvante; Marcio Bezerra Gadelha Lopes; Clodoaldo José Duarte de Sousa; Diego Ariel de Lima

doi:10.1590/SciELOPreprints.1523

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Jonatas Brito de Alencar Neto Instituo Doutor José Frota
Rèjelos Chales Aguiar Lira Instituo Doutor José Frota
Rafael da Silva Cavalvante Instituo Doutor José Frota
Marcio Bezerra Gadelha Lopes Instituo Doutor José Frota
Clodoaldo José Duarte de Sousa Instituo Doutor José Frota
Diego Ariel de Lima Universidade Federal Rural do Semi-Árido https://orcid.org/0000-0002-5702-1529

DOI:

https://doi.org/10.1590/SciELOPreprints.1523

Keywords:

vein thrombosis, knee trauma, bone fractures

Abstract

Objective: To report the incidence between Deep Vein Thrombosis (DVT) in ipsilateral femur and tibia fractures (floating knee), considering its relation with hospitalization time, fracture classification, treatment implemented and comorbidities.

Methods: This is a retrospective observational analytical study using the medical charts of thirty patients admitted with floating knee to a trauma hospital between October 2016 and July 2017.

Results: Of the 30 patients assessed, 25 (83%) were men and 5 (17%) women. The most affected age range was between 21 and 30 years (36%). The dominant limb was affected in 17 (57%) patients. A total of 19 (63%) patients were classified as Fraser type I, 18 (60%) had open (compound) fractures, 16 (53%) fractures of the tibia and 8 (26%) of the femur. The most widely used emergency treatment was external fixation of the femur and tibia (25 patients = 83%). Seven patients used a femur plate and external fixator in the tibia as definitive treatment. Of the 30 patients studied, 14 (46%) suffered infectious complications, 9 (30%) superficial and 5 (16%) deep. Deep venous thrombosis was observed in 17% of patients (p=0.409).

Conclusion: Despite the use of antithrombotic prophylaxis, there was a high incidence of DVT in the affected limb of patients with floating knee. Fraser I fractures, being male and the non-dominant limb increases the likelihood of developing DVT.

Level of Evidence: Level I