CONSERVATIVE TREATMENT OF FRACTURES INCREASES THE RISK OF DEEP VEIN COMPARED TO SURGICA
Corresponding author:
[email protected]
Accepted
29 March 2026
Available Online
15 March 2019
Abstract
FRACTURES ARE A COMMON FINDING IN TRAUMA DEPARTMENTS WORLDWIDE AND THEY CAN BE TREATED CONSERVATIVELY OR SURGICALLY. IN BOTH TYPES OF FRACTURE TREATMENT, DEEP VEIN THROMBOSIS (DVT) AND PULMONARY EMBOLISM (PE) ARE LIFE- THREATENING COMPLICATIONS. AN ANIMAL MODEL WAS USED TO STUDY THE INFLUENCE OF TREATMENT TYPE ON DVT AND PE INCIDENCE. THIRTY RATS WERE EQUALLY DIVIDED INTO THREE GROUPS AS FOLLOWING: GROUP I (BILATERAL FEMORAL VEIN THROMBOSIS), GROUP II (BILATERAL VEIN THROMBOSIS AND UNILATERAL TIBIA FRACTURE TREATED SURGICALLY) AND GROUP III (BILATERAL VEIN THROMBOSIS AND UNILATERAL TIBIA FRACTURE TREATED CONSERVATIVELY). THE TOTAL OBSTRUCTION OF THE FEMORAL VEIN IPSILATERAL TO THE FRACTURE WAS FOUND IN 60% OF CASES IN GROUP I, 50% OF CASE IN GROUP II AND 100% OF CASES IN GROUP III. REGARDING THE FEMORAL VEIN THROMBOSIS IN THE NON -FRACTURED LIMB, THE TOTAL OBSTRUCTION OF THE FEMORAL VEIN WAS OBSERVED IN 50% FOR GROUP I, 60% FOR GROUP II AND 11% FOR GROUP III. COMPLETE OBSTRUCTION OF THE PULMONARY ARTERIES WAS 50% IN GROUP I, 10% IN GROUP II AND 9% IN GROUP III. FAT PULMONARY EMBOLISM OCCURRED IN 6 OUT OF 10 CASES IN GROUP II. CONSERVATIVE TREATMENT HAS A HIGHER RISK OF DEEP VEIN THROMBOSIS COMPARED TO SURGICAL TREATMENT. FURTHERMORE, PULMONARY FAT EMBOLISM IN THE INTRAMEDULLARY NAIL TREATED GROUP IS FOUND IN MOST CASES, WITHOUT CLINICAL SYMPTOMS.
Keywords
FRACTURE
DEEP VEIN THROMBOSIS (DVT)
PULMONARY EMBOLISM (PE)
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