Research Article| Volume 2, ISSUE 2, P155-158, October 1970

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Incidence of thrombo-embolic disease in patients with hip fractures

  • E.B. Riska
    Requests for reprints should be addressed to:—Dr. E. B. Riska, Department of Orthopaedics and Traumatology, University Central Hospital, Helsinki 26, Finland.
    Surgical Department, Koskela Hospital, Helsinki, Finland
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      The incidence of thrombo-embolism was investigated in 470 patients with hip fractures treated in the Surgical Department of Koskela Hospital, Helsinki, between 1961 and 1968. Patients were not routinely treated with prophylactic anticoagulation. The study was based on clinical findings while they were in hospital, as well as on autopsies.
      In 470 patients thrombo-embolism was found in 8.3 per cent. Of these, 26 died while in hospital, and 8 later of pulmonary thrombo-embolism.
      The incidence of thrombo-embolism was independent of the type of fracture, the method of surgical treatment or whether it was treated conservatively, or the duration of traction. The incidence of thrombo-embolism was lower than that presented elsewhere, although the cases were confirmed at autopsy.
      As pulmonary embolism carries a high mortality, especially after major surgery, the administration of anticoagulants seems to be indicated as routine prophylaxis.
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        • Harris W.H.
        • Salzman E.W.
        • Desantis R.W.
        The Prevention of Thrombo-embolic Disease by Prophylactic Anticoagulation. A Controlled Study in Elective Hip Surgery.
        J. Bone Jt Surg. 1967; 49A: 81
        • Riska E.B.
        Factors influencing Primary Mortality in the Treatment of Hip Fractures.
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        Prevention of Venous Thrombosis and Pulmonary Embolism in Injured Patients. A Trial of Anticoagulant Prophylaxis with Phenindione in Middle-aged and Elderly Patients with Fractured Necks of the Femur.
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        Prevention of Thrombo-embolic Complications in Orthopaedic and Accident Surgery.
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