Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Systemic
Abstract number: 24918
INCIDENCE OF DVT AFTER SURGERY FOR ACETABULAR FRACTURES
masataka FUJII 1 , takeshi DOI 1 , keiichiro NISHIDA 2 , tomoyuki NODA 2 , toshifumi
OZAKI 2
1 Fukuyama City Hospital, Hiroshima (JAPAN), 2 Okayama University Hospital,
Okayama (JAPAN)
Introduction DVT and resultant pulmonary embolism (PE) are the life-threatening
complications for patients with acetabular fracture. The current retrospective study
investigated the relationships between clinical parameters and postoperative DVT
diagnosed by multi-detector row CT (MDCT) in patients treated operatively for
acetabular fracture. Materials and Methods Thirty patients (7 women and 23 men,
average age at injury: 50.2 yrs old) with acetabular fracture were treated at
Fukuyama City hospital. Three were excluded because of the absence of enhanced
CT. On the 7th day after surgery, CT scan with contrast medium was performed to
detect DVT. Serum concentration of D-dimer, BMI, and period from admission to
operation were compared between DVT group and no DVT group. Results Nine
(33.3%) of 27 were diagnosed as DVT, and two of 9 (22.2%) were as no
symptomatic PE. Serum D-dimer level, BMI, and period from admission to operation
of DVT group and no DVT group were 20 g/ml, 24.9, 8.0 days, and 14g/ml, 23.3, 5.3
days, respectively. There were no significant difference between two groups
statistically. Discussion Serum D-dimer level at post-op, BMI and the waiting period
before operation did not significantly related to DVT in this series. As our results
suggested that there is a substantial risk of DVT in patients with acetabular fracture,
the identification of DVT by enhanced CT should be routinely performed. MDCT was
useful to detect both venous embolism in lower extremities and arterial embolism in
the lung simultaneously.
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