Increased risk of deep venous thrombosis in patients with poor ankle dorsiflexion after lower limb immobilization.
achilles tendon
deep venous thrombosis
immobilization
patient-reported outcome measures
plaster cast
rupture
Journal
OTA international : the open access journal of orthopaedic trauma
ISSN: 2574-2167
Titre abrégé: OTA Int
Pays: United States
ID NLM: 101770383
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
17
11
2018
accepted:
10
04
2019
medline:
17
5
2019
pubmed:
17
5
2019
entrez:
4
9
2023
Statut:
epublish
Résumé
Many trauma patients are at risk of pulmonary embolism due to unrecognized deep vein thrombosis (DVT). Restricted ankle dorsiflexion (AD) range of motion during leg immobilization is known to cause reduced venous blood flow. The aim of the present study was to assess whether AD at plaster cast removal is related to the incidence of DVT and to patient outcome. Prospective observational cohort study. Level 1 Trauma Center. A total of 124 patients (97 men, 27 women; mean age 40.3 years) with plaster cast leg immobilization after surgical repair of Achilles tendon rupture were assessed. At 2 weeks postoperatively, assessments of AD and the incidence of DVT using compression duplex ultrasound were performed with observers blinded to patient grouping. Patients were dichotomized into 2 groups; poor or good AD, according to the mean AD, -7°. At 3- and 12 months patient-reported outcome was examined using validated questionnaires (ATRS and FAOS), and functional outcome using the heel-rise test. Patients with poor AD sustained 42% DVTs, while patients with good AD exhibited a DVT-rate of 23% ( Reduced AD after plaster cast removal is associated with a higher risk of DVT. The results of this observational study warrant further prospective studies to confirm the effects of ankle dorsiflexion on the risk of developing venous thromboses.
Identifiants
pubmed: 37662835
doi: 10.1097/OI9.0000000000000038
pii: OTAI-D-18-00057
pmc: PMC10473320
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e038Informations de copyright
Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Orthopaedic Trauma Association.
Déclaration de conflit d'intérêts
The authors have no conflicts of interest to disclose.
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