DEEP VEIN THROMBOSIS AFTER MAJOR ORTHOPEDIC SURGERY IN HOSPITALS OF LAHORE: A CROSS - SECTIONAL STUDY

Abstract

Deep vein thrombosis (DVT), a form of venous thromboembolism, is one of the most frequent complications occurring within 7 to 14 days after orthopedic procedures, especially total joint replacements. Without appropriate preventive therapy, the likelihood of developing DVT or pulmonary embolism following such surgeries can be as high as 60%.

Methodology:

This was a cross-sectional study conducted in selected hospitals in Lahore. A total of 51 patients, who underwent major orthopedic surgery (e.g. ORIF or arthroplasty), were included. Results: A total of 51 postoperative orthopedic patients were assessed for deep vein thrombosis (DVT). The most common symptoms were leg pain (23.8%), swelling (15%), warmth (12.5%), and tenderness (11.3%). Among the examined factors, blood loss (p=0.03) and cemented prosthesis (p=0.02) showed a statistically significant association with DVT symptoms. Other factors such as smoking, weight, tourniquet use, and surgery duration showed no significant relationship (p>0.05). Overall, the study identified blood loss and cemented prosthesis as key predictors of postoperative DVT in this patient population.

Conclusion:

These observations suggest that regular post-operative monitoring, early initiation of preventive measures, and patient education about the risks of this disease may play an important role in reducing the risk of DVT.