Estudio prospectivo de profilaxis ambulatoria con sulodexida después de una artroplastia total de cadera o rodilla
- Ramos Galea, Rafael
- Blanco Blanco, Juan F.
- Hernández Martín, P.
- Borrego Ratero, David
- García Alonso, Manuel Francisco
ISSN: 0304-5056
Year of publication: 2000
Volume: 35
Issue: 204
Pages: 419-423
Type: Article
More publications in: Revista española de cirugía osteoarticular
Abstract
The discontinous thromboprophylaxis is a determinant cause in the presence of thromboembolic complications in the first month after hospital discharge. The difficult administration of the low -molecular- weight heparin by the patient and the different preoccupation for this problem between the Primary Care and the orthopedics specialists are the causes that incite to discontinous thromboprophylaxis. A prospective study was made of 221 patients who undergoing a total hip arthroplasty or a total knee arthroplasty and the objective was to investigate the incidence of venous thrombosis in the patients who were treated with oral sulodexide in the first month after hospital discharge. We analized the efficacy and the secondary effects of sulodexide. There were satisfactory results in 98,8% of patients who were treated with sulodexide (1,2% of venous complications), and 21% of venous complications in the group of patients who did not continue the thromboprophylactic treatment.