Leon Pedell, MD
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Pedell L.; Ultrasonographic Screening for Deep Venous Thrombosis after Arthroplasty. Ann Intern Med. 1998;128:600-601. doi: 10.7326/0003-4819-128-7-199804010-00022
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Published: Ann Intern Med. 1998;128(7):600-601.
TO THE EDITOR:
The article on ultrasonographic screening for deep venous thrombosis after arthroplasty  agrees completely with my experience regarding the lack of value of such screening in these patients. In a 6-month period (January through June 1995) at William Beaumont Hospital, ultrasonography was done on patients who had had arthroplasty for whom there was a definite clinical suspicion of deep venous thrombosis. Only 8% of patients had acute femoropopliteal deep venous thrombosis.
Of additional interest in Robinson and colleagues' study  was the length of stay, approximately 10 ± 5 days. This length of stay helped to ensure that 85% of the patients were discharged “fully mobile” (and were receiving therapeutic anticoagulation with warfarin on the day of discharge, as much as 2 weeks after surgery); this therapy should also prevent subsequent deep venous thrombosis.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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