Journal of Orthopaedics Trauma Surgery and Related Research

Journal of Orthopaedics Trauma Surgery and Related Research

An Official Journal of Polish Society of Orthopaedics and Traumatology

ISSN:1897-2276
e-ISSN: 2449-9145

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D-dimer levels in diagnosis of DVT after total hip and knee replacement

Author(s): MARCIN NOLEWAJKA, TADEUSZ SZ. GAŹDZIK

Background: The aim of study was clinical evaluation of D-dimers level in diagnosis of DVT after joints replacement. Material and methods: There were reviewed series of 80 patients who had performed total hip or knee replacement or revisions after THR. All patients were manifold performed laboratory tests of D-dimers level in serum compared with physical examination and two-dimensional ultrasonography, completed by Doppler. DVT was diagnosed only in case of positive result of ultrasonography. Results: All positive results of ultrasonography were confirmed by increase of D-dimer levels. In 49% increased D-dimers levels we did not obtain ultrasonographic confirmation. Conclusions: Lack of D-dimer level increase means no DVT. D-dimer level increase doesn’t mean deep vein thrombosis. D-dimer level in serum is a screening test in diagnosing DVT after lower limb joints replacement. It should be confirmed by veins ultrasonography or venography.


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Annals of Medical and Health Sciences Research Journal of Orthopaedics Trauma Surgery and Related Research a publication of Polish Society, is a peer-reviewed online journal with quaterly print on demand compilation of issues published.
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