Combined Prevention of Thrombosis and Hemorrhagic Complications in Patients after Replacement of the Knee or Hip Joint
https://doi.org/10.33647/2074-5982-16-3-81-85
Abstract
The article demonstrates the importance of observing the time interval between hemostatic and anticoagulant therapy for at least 18 hours, particularly when using tranexamic acid as a hemostatic drug. The developed complications of a thrombotic and hemorrhagic nature in the early postoperative period after knee and hip arthroplasty were analyzed. Schemes of hemostatic and anticoagulant agents, which developed thrombosis and hemorrhagic complications, were also determined.
About the Authors
L. S. Golovko
Rostov State Medical University of the Ministry of Health Care of Russia
Russian Federation
Russian Federation
Liliya S. Golovko
344022, Rostov-on-Don, Nakhichevansky lane, 29
A. V. Safronenko
Rostov State Medical University of the Ministry of Health Care of Russia
Russian Federation
Russian Federation
Andrey V. Safronenko, Dr. Sci. (Med.), Assoc. Prof.
344022, Rostov-on-Don, Nakhichevansky lane, 29
E. V. Gantsgorn
Rostov State Medical University of the Ministry of Health Care of Russia
Russian Federation
Russian Federation
Elena V. Gantsgorn, Cand. Sci. (Med.)
344022, Rostov-on-Don, Nakhichevansky lane, 29
N. V. Sukhorukova
Rostov State Medical University of the Ministry of Health Care of Russia
Russian Federation
Russian Federation
Natalya V. Sukhorukova, Cand. Sci. (Med.)
344022, Rostov-on-Don, Nakhichevansky lane, 29
E. S. Postnikova
Rostov State Medical University of the Ministry of Health Care of Russia
Russian Federation
Russian Federation
Elena S. Postnikova, Cand. Sci. (Med.)
344022, Rostov-on-Don, Nakhichevansky lane, 29
N. Yu. Saenko
Rostov State Medical University of the Ministry of Health Care of Russia
Russian Federation
Russian Federation
Natalya Yu. Saenko, Cand. Sci. (Med.)
344022, Rostov-on-Don, Nakhichevansky lane, 29
References
1. Bozhkova S.A., Kasimova A.R., Nakopia V.B., Kornilov N.N. Vse li my znaem o profilaktike venoznyh tromboembolicheskih oslozhnenij posle bol’shih ortopedicheskih operacij? [Do we know all about prevention of venous thromboembolism after major orthopedic surgery?]. Travmatologiya i ortopediya Rossii [Traumatology and Orthopedics of Russia]. 2018;24(1):129–143. (In Russian). DOI: 10.21823/2311-2905-2018-24-1-129-143.
2. Golovko L.S., Safronenko A.V., Gantsgorn E.V., Sukhorukova N.V. Trombogemorragicheskie oslozhneniya u pacientov posle endoprotezirovaniya kolennyh i tazobedrennyh sustavov na fone sovmestnoj terapii gemostatikami i antikoagulyantami [Thrombohemorrhagic complications among patients after knee and hip arthroplasty on the background of joint therapy with hemostatic and anticoagulants]. Uralskij medicinskij zhurnal [Ural Medical Journal]. 2020;1(184):47–52. (In Russian). DOI: 10.25694/URMJ.2020.01.09.
3. Dobrovol’skij F. Celesoobraznost’ profilakticheskogo primeneniya traneksamovoj kisloty v hirurgicheskoj praktike [Expedience of the prophylactic use of tranexamic acid in surgical practice]. Vestnik ekstrennoj mediciny [Bulletin of Emergency Medicine]. 2017;(3):83–87. (In Russian).
4. Ershov D.S., Kopenkin S.S., Skoroglyadov A.V. Profilaktika i lechenie trombozov glubokih ven nizhnih konechnostej pri endoprotezirovanii tazobedrennogo sustava (obzor literatury) [Prophylaxis and treatment of deep vein thrombosis of lower extremities at total hip replacement: a literature review]. Vestnik Rossyskogo gosudarstvennogo meditsinskogo universiteta [Bulletin of the Russian state Medical University]. 2015;(3):14–19. (In Russian).
5. Nakopia V.B., Kornilov N.N., Bozhkova S.A., Kazemirskiy A.V., Goncharov M.Y. Skrytaya krovopoterya posle total’nogo endoprotezirovaniya kollenogo sustava na fone kompleksnoj antikoagulyantnoj tromboprofilaktiki [Hidden blood loss after total knee arthroplasty with complex thromboprophylaxis]. Sovremennye problemy nauki i obrazovaniya [Modern Problems of Science and Education]. 2017;6. (In Russian). DOI: 10.17513/spno.27272.
6. Registr lekarstvennyh sredstv. Enciklopediya lekarstv [Register of medicines of Russia. Encyclopedia of drugs]. (In Russian). https://www.rlsnet.ru/mnn_index_id_1290.htm
7. Rossijskie klinicheskie rekomendacii “Profilaktika venoznyh tromboembolicheskih oslozhnenij v travmatologii i ortopedii” [Russian clinical recommendations “Prevention of venous thromboembolic complications in traumatology and orthopedics”]. Travmatologiya i ortopediya Rossii [Traumatology and Orthopedics of Russia]. 2012;1:2–24. (In Russian).
8. Huang F., Wu Y., Yin Z., Ma G., Chang J. A systematic review and meta-analysis of the use of antifibrinolytic agents in total hip arthroplasty. HIP Int. 2015;25(6):502–509. DOI: 10.5301/hipint.5000285.
Review
For citations:
Golovko L.S., Safronenko A.V., Gantsgorn E.V., Sukhorukova N.V., Postnikova E.S., Saenko N.Yu. Combined Prevention of Thrombosis and Hemorrhagic Complications in Patients after Replacement of the Knee or Hip Joint. Journal Biomed. 2020;16(3):81-85. (In Russ.) https://doi.org/10.33647/2074-5982-16-3-81-85
Views:
456
Email this article 
