Ming Liu,Lei Liu,Fuguo Huang,Yue Fang,Gang Zhong,Zhou Xiang.[J].Chin J Traumatol,2015,18(2):109-112. [doi]
Perioperative treatment of femoral neck fracture with deep venous thrombosis: A case report
  
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KeyWord: Femoral neck fractures  Calf muscular venous thrombosis  Venous thrombosis
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Author NameAffiliation
Ming Liu Department of Orthopaedics, West China Hospital of Sichuan University 
Lei Liu Department of Orthopaedics, West China Hospital of Sichuan University 
Fuguo Huang Department of Orthopaedics, West China Hospital of Sichuan University 
Yue Fang Department of Orthopaedics, West China Hospital of Sichuan University 
Gang Zhong Department of Orthopaedics, West China Hospital of Sichuan University 
Zhou Xiang Department of Orthopaedics, West China Hospital of Sichuan University 
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Abstract:
      Deep venous thrombosis (DVT) is an important cause of disability and mortality after major orthopedic surgery. The roles of perioperative treatment and prevention of DVT in patients with femoral neck fractures who require major surgery have not yet been well explored in Chinese clinical practice. Here we report a case of calf muscular venous thrombosis in a 55-year-old woman with femoral neck fracture before surgery. Preventive and treatment measures including the administration of heparin sodium, application of venous foot pump and placement of inferior vena cava filter were taken. The condition of the patient was stable during the perioperative period and the surgery was successful. Besides, postoperative examination showed that the femur healed well and the functional recovery was satisfactory. Our results suggest that femoral neck fracture patients combined with DVT can receive surgery after accurate preoperative assessment and proper preoperative treatment.
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