INCIDENCE OF DEEP VEIN THROMBOSIS IN FLOATING KNEE

• Published in: Acta ortopedica brasileira Vol. 29; no. 1; pp. 17 - 20
• Main Authors: Alencar, Jonatas Brito DE, Lira, Réjelos Charles Aguiar, Cavalcante, Rafael DA Silva, Lopes, Marcio Bezerra Gadelha, Sousa, Clodoaldo José Duarte DE, Lima, Diego Ariel DE
• Format: Journal Article
• Language: English; Portuguese
• Published: Brazil ATHA EDITORA 01.01.2021; Sociedade Brasileira de Ortopedia e Traumatologia
• Subjects: Bone; Original; ORTHOPEDICS; Venous Thrombosis. Knee. Trauma. Fractures; Venous Thrombosis. Knee. Trauma. Fractures; Bone; Fraturas Ósseas; Joelho; Trombose Venosa; Trauma
• ISSN: 1413-7852; 1809-4406; 1809-4406
• DOI: 10.1590/1413-785220212901230444

To report the incidence of deep vein thrombosis (DVT) in ipsilateral femur and tibial fractures (floating knee). This is a retrospective, analytical, observational study conducted with the medical records of thirty patients admitted to a trauma hospital between October 2016 and July 2017 with floating knee. Patients aged between 21-30 years were the most affected by the condition (36%). Seventeen patients affected the dominant limb (57%); 19 (63%) patients were classified as Fraser type I, 18 (60%) had open (compound) fractures, 16 (53%) tibial fractures, and 8 (26%) femoral fractures. External fixation of the femur and tibia (25 patients = 83%) was the most common emergency treatment. In total, 17% of patients presented deep venous thrombosis (p = 0.409). Despite antithrombotic prophylaxis, the incidence of DVT in the affected limb of patients with floating knee was high. We found patients with Fraser I fractures, male, and with fractures in the non-dominant limb to present a higher chance of developing DVT.