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ID 31970
JaLCDOI
フルテキストURL
著者
Sasaki, Kentaro Okayama University Hospital
Senda, Masuo Okayama University Kaken ID researchmap
Ishikura, Takashi Shibata Hospital
Ota, Haruyuki Okayama University Hospital
Mori, Takeshi Okayama University
Tsukiyama, Hisashi Okayama University
Hamada, Masanori Okayama University
Shiota, Naofumi Okayama University
抄録

We examined whether ambulatory ability before surgery might influence the post-operative D-dimer level after total hip arthroplasty (THA). One hundred two patients with hip osteoarthritis receiving THA were included in the current study. The patients were all female, and their ages ranged from 45 to 81 (average 65.0 +- 9.3 years). Age, operated side, body mass index (BMI), disease duration before surgery, pre-operative pain evaluated by visual analogue scale (VAS), total cholesterol value, maximal circumference of the lower leg of the operated side, and timed "Up & Go"test (TUG) before surgery, were retrospectively investigated to examine their relationship with D-dimer levels on post-operative day 7. Patients were divided into 2 groups according to the D-dimer value: over 10 microg/ml (Group D), and under (Group N). Patients in group D (N= 52)were older, had a higher BMI, and had less ambulatory ability than patients in group N (N= 50). As age showed a relationship with the D-dimer value on the 7th day and TUG results, patients in the 2 groups were further subdivided into 50's, 60's, and 70's age brackets. In the 50's bracket, patients in group D had higher BMI than patients in group N, but time for TUG was not significantly different. In the 60's and 70's bracket, patients in group D had less ambulatory ability than patients in group N, but the time for TUG was not directly correlated with the D-dimer value. The results suggest that pre-operative low ambulatory ability in patients with osteoarthritis over 60 years might influence the postoperative D-dimer after THA, indicating the potential risk for post-operative deep venous thrombosis.

キーワード
timed “Up& Go”test
D-dimer
total hip arthroplasty
Amo Type
Article
発行日
2005-10
出版物タイトル
Acta Medica Okayama
59巻
5号
出版者
Okayama University Medical School
開始ページ
225
終了ページ
230
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Science KeyUT