Logo of The Journal of Bone & Joint Surgery (Br)
Quick search:        
          Advanced Search
Guest Access | Sign In
This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Wilson, N.
Right arrow Articles by Nixon, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Wilson, N.
Right arrow Articles by Nixon, J.
Journal of Bone and Joint Surgery - British Volume, Vol 74-B, Issue 1, 50-52
Copyright © 1992 by British Editorial Society of Bone and Joint Surgery

Articles

Thrombo-embolic prophylaxis in total knee replacement. Evaluation of the A-V Impulse System

NV Wilson, SK Das, VV Kakkar, HD Maurice, JG Smibert, EM Thomas, and JE Nixon

Department of Orthopaedic Surgery, King's College Hospital, London, England.

We performed a prospective randomised controlled trial of a new mechanical method of prophylaxis for venous thrombo-embolism in 60 patients undergoing knee replacement surgery. The method uses the A-V Impulse System to produce cyclical compression of the venous reservoir of the foot. The overall incidence of deep-vein thrombosis was 68.7% in patients receiving no prophylaxis and 50% in those using the device. The difference was not significant. There was, however, a reduction of the extent of thrombosis in the treated group. There were 13 major calf-vein thrombi and six proximal-vein thrombi in the control group compared with only five major calf-vein thrombi in the treated group. This difference was significant (p = 0.014). No patient developed clinical features of a pulmonary embolism.


This article has been cited by other articles:


Home page
 J Bone Joint Surg BrHome page
S. Fuchs, T. Heyse, G. Rudofsky, G. Gosheger, and C. Chylarecki
Continuous passive motion in the prevention of deep-vein thrombosis: A RANDOMISED COMPARISON IN TRAUMA PATIENTS
J Bone Joint Surg Br, August 1, 2005; 87-B(8): 1117 - 1122.
[Abstract] [Full Text] [PDF]


(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General