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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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References
- The Prevention of Thrombo-embolic Disease by Prophylactic Anticoagulation. A Controlled Study in Elective Hip Surgery.J. Bone Jt Surg. 1967; 49A: 81
- Factors influencing Primary Mortality in the Treatment of Hip Fractures.Injury. 1970; 2: 107
- 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.Lancet. 1959; 2: 981
- Prevention of Thrombo-embolic Complications in Orthopaedic and Accident Surgery.J. Bone Jt Surg. 1961; 43B: 7
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© 1970 Published by Elsevier Inc.
