ID 76611
Author
Nakao, Shigetaka Department of Orthopedics Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School|Division of Rehabilitation, Tokushima University Hospital
Takata, Shinjiro Department of Orthopedics Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Uemura, Hirokazu Department of Preventive Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Nakano, Shunji Department of Orthopedics Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Egawa, Hiroshi Department of Orthopedics Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School KAKEN Search Researchers
Kawasaki, Yoshiteru Department of Orthopedics Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Kashihara, Michiharu Department of Orthopedics Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Yasui, Natsuo Department of Orthopedics Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
DVT
TKA
early ambulation
Content Type
Journal Article
Description
This study aimed to clarify the therapeutic effects of postoperative ambulation after total knee arthroplasty (TKA) on deep venous thrombosis (DVT) in patients with osteoarthritis (OA) and rheumatoid arthritis (RA) after TKA. Subjects of this study were thirty-seven inpatients (21 inpatients : OA, 16 inpatients : RA) undergoing TKA (32 female and 5 male). Subjects were divided into two groups, deep venous thrombosis (DVT) group (n=25) and non-DVT group (N group, n=12). The cutoff value was 10.0 g/ml plasma D-dimer level measured on 7th postoperative day. The N group was below the cutoff value. Another cutoff value divided into two groups, ambulatory group (n=26) and non-ambulatory group (n=11). Ambulatory group was the date of ambulation beginning below 7th day. Statistical analysis confirmed that all subjects showed a significant correlation to the date of ambulation. Postoperative ambulation beginning had strong association with the level of D-dimer (r=0.71). Group comparison showed that the non-ambulatory group had significant higher values of D-dimer than ambulatory group (P=0.022). Typical case supported these results. Postoperative early ambulation within a week after TKA kept patients with OA and RA after TKA lower level of D-dimer.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
57
Issue
1-2
Start Page
146
End Page
151
Sort Key
146
Published Date
2010-02
Remark
The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
EDB ID
FullText File
language
eng
departments
Medical Sciences
University Hospital