Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Radl, R; Kastner, N; Aigner, C; Portugaller, H; Schreyer, H; Windhager, R.
Venous thrombosis after hallux valgus surgery.
J Bone Joint Surg Am. 2003; 85-A(7):1204-1208
Doi: 10.2106/00004623-200307000-00004
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Radl Roman
- Co-Autor*innen der Med Uni Graz
- Aigner Christian
- Kastner Norbert
- Portugaller Rupert
- Windhager Reinhard
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- Abstract:
- BACKGROUND: Although surgery for the treatment of hallux valgus is frequently performed, the exact rate of deep vein thrombosis following this procedure is unknown. We performed a single-center, prospective, phlebographically controlled study to quantify the rate of venous thrombosis following operative correction of hallux valgus. METHODS: Consecutive patients undergoing chevron bunionectomy for correction of hallux valgus deformity were enrolled in the study. Patients with clinical or hematological risk factors for venous thrombosis were excluded. One hundred patients with a mean age of 48.9 years were operated on and did not receive medical prophylaxis against thrombosis. All patients were assessed with phlebography at a mean of twenty-nine days postoperatively. RESULTS: Venous thrombosis was found in four patients (4%). The mean age of these patients (and standard deviation) was 61.7 +/- 6.1 years compared with a mean age of 48.4 +/- 13.9 years for the patients in whom thrombosis did not develop (p = 0.034). CONCLUSIONS: Patients are at a low risk for venous thrombosis following surgical treatment of hallux valgus. The need for prophylaxis against thrombosis should be calculated individually for each patient according to his or her known level of risk. Routine medical prophylaxis against thrombosis might be justified for patients over the age of sixty years.
- Find related publications in this database (using NLM MeSH Indexing)
- Age Distribution -
- Aged -
- Body Mass Index -
- Female -
- Hallux Valgus - surgery
- Humans - surgery
- Length of Stay - statistics and numerical data
- Male - statistics and numerical data
- Middle Aged - statistics and numerical data
- Osteotomy - adverse effects
- Partial Thromboplastin Time - adverse effects
- Patient Selection - adverse effects
- Phlebography - adverse effects
- Prevalence - adverse effects
- Prognosis - adverse effects
- Prospective Studies - adverse effects
- Prothrombin Time - adverse effects
- Risk Assessment - adverse effects
- Risk Factors - adverse effects
- Time Factors - adverse effects
- Treatment Outcome - adverse effects
- Venous Thrombosis - epidemiology