Preoperative Incidence of Lower Extremity Venous Thrombosis in Patients with Femoral Neck Fractures

M.L. Ankin, T.M. Petryk, V.A. Ladyka, V.V. Roіenko


Introduction. To date, topical issue of modern orthopedics and traumatology is the problem of lower extremity venous thrombosis and pulmonary embolism that occurs in patients with fractures of the femoral neck. Objective — to study the relationship between the period from the date of injury and preoperative prevalence of thrombosis of the lower extremities in patients with femoral neck fractures. Material and methods. During 2013–2014, a cohort study was carried out at the premises of Kyiv regional clinical hospital № 1 in the orthopedic and trauma center in 96 patients with fractures of the femoral neck. The average age of patients — 75 ± 10 years, 78 % — women, 22 % — men. All patients underwent ultrasonography of the lower extremity veins at admission. Results. We have observed the greatest number of thrombosis from day 5 to 14 from the date of injury. When analyzing lower extremity thrombosis depending on the gender, it was detected in 13 women and 5 men out of 18 patients. The highest incidence of these complications was at the age of 75 years and older. Discussion. Venous thromboembolism is a major problem after surgical treatment of femoral neck fractures. We can anticipate the development of lower extremity venous thrombosis in the interval between the time of femoral neck fracture and the surgical intervention, because patients with this disease cannot independently move the injured limb during this period. Conclusions. 1. The main risk factor for lower extremity venous thrombosis in fractures of the femoral neck is the increase in the period from the date of injury to surgery. 2. Ultrasonography as an early screening method for the diagnosis of venous thromboembolic complications should be performed as soon as possible in all patients with femoral neck fractures; if it’s impossible to perform surgery within 48 hours, ultrasound diagnostics must be repeated. 3. A risk factor for the development of thrombosis of the lower limbs in the preoperative period is the age of the patients more than
75 years.


femoral neck fracture; lower extremity venous thrombosis; hip replacement


Руководство по кардиологии / Под ред. В.Н. Коваленко. — К.: Морион, 2008. — С. 850-892.

Тромбоз вен. Причины, симптомы, диагностика и лечение тромбоза [Электронный ресурс]. — Режим доступа:

Тромбоэмболия легочной артерии: алгоритмы диагностики и лечения / Симпозиум № 7. — Издательский дом «Заславский», 2016.

Bergqvist D., Comerota A., Nicolaides A., Scatter J. Prevention of venous thromboembolism. — London: Med-Orion, 1994. — 462 p.

Calfon M., Seddighzadeh A., Piazza G., Goldhaber S.Z. Deep vein thrombosis in orthopedic surgery // Clin. Appl Thromb. Hemost. — 2009. — 15(5). — 512-516.

Geerts W.H., Bergqvist D., Pineo G.F. et al. Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th еd.) // Chest. — 2008. — 133 (6 Suppl.). — 381-453.

Goodman L.R., Stein P.D., Matta F. et al. CT venography and compression sonography are diagnostically equivalent: data from PIOPED II // AJR Am. J. Roentgenol. — 2007. — 189(5). — 1071-1076.

National Institute for Health and Clinical Excellence. Venous thromboembolism in adults admitted to hospital: reducing the risk [Internet]. — London: National Institute for Health and Clinical Excellence 2015 [cited 2015 Jun 14]. — Avai-lable from: 92.

Monreal M., Ruiz J., Olazabal A., Arias A., Roca J. Deep venous thrombosis and the risk of pulmonary embolism: a systematic study // Chest. — 1992. — 102(3). — 677-681.

Zahn H.R., Skinner J.A., Porteous M.J. The preoperative prevalence of deep vein thrombosis in patients with femoral neck fractures and delayed operation // Injury. — 1999. — 30(9). — 605-607.

Copyright (c) 2016 TRAUMA

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


© Publishing House Zaslavsky, 1997-2018


   Seo анализ сайта