PREVENTION OF DEEP VENOUS THROMBOSIS IN POST-OPERATIVE ARTHROPLASTY PATIENTS WITHOUT USE OF ANTICOAGULANT THERAPY

Background: Deep vein thrombosis (DVT) is one of the most common complications total hip (THA) and knee arthroplasty (TKA), mostly due to immobilisation some extent pre-existing co-morbidities along with genetic predisposition. Though reported incidence DVT very high in multiple studies, fatal thromboembolism rarely seen clinical setup. Hence issue prophylaxis for remains highly debated1. The largely based on various studies European American populations. Asian population genetically socially quite different from populations, so can be different2. We conducted a retrospective study at our centre determine after THA TKA Indian patients. Methods: A was 45 patients who underwent respectively, without any known risk factors thromboembolic disease. No given were monitored post op period signs symptoms starting adequate physiotherapy Results: found patient had undergone THA, which confirmed colour Doppler ultrasonography affected limb. case detected TKA. Conclusion: These results suggest that low not comparable when postoperative mobilisation done.We conclude advising prophylactic anticoagulant therapy these could successfully substituted by simple cost effective but prevent DVT, process also bypassing side effects therapy.