Thromboprophylaxis and haematomas

Umraz Khan, G. Perks, R. Morgan-Jones, P. James, Colin Esler, V. Smyth, V. Gant
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Abstract

This chapter discusses thromboprophylaxis and haematomas within periprosthetic joint infection. The issue of venous thromboembolism is important for all surgical patients and, as such, those undergoing arthroplasty must undergo a careful and accurate risk assessment. Prolonged surgery and delayed postoperative mobilization are risk factors and are common to most major joint arthroplasty. Use of prophylactic agents to prevent thrombosis must be balanced with the avoidance of haematoma formation as the latter contributes to a risk of prosthetic joint infection. Should deep vein thrombosis occur then swift methods of diagnosis and treatment must be in place.
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血栓预防和血肿
本章讨论假体周围关节感染中的血栓预防和血肿。静脉血栓栓塞的问题对所有手术患者都很重要,因此,接受关节置换术的患者必须进行仔细和准确的风险评估。手术时间延长和术后活动延迟是危险因素,也是大多数大关节置换术的常见因素。使用预防血栓形成的药物必须与避免血肿形成相平衡,因为后者会增加假体关节感染的风险。如果发生深静脉血栓形成,那么迅速的诊断和治疗方法必须到位。
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Pathways for established prosthetic joint infection Revision arthroplasty networks Thromboprophylaxis and haematomas Preoperative assessment Specific microbiology issues relating to prosthetic joint infection
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