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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Incidence of Symptomatic Venous Thromboembolism in Proximal Hamstring Repair: A Prospective Cohort Study
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Incidence of Symptomatic Venous Thromboembolism in Proximal Hamstring Repair: A Prospective Cohort Study

机译：近端腿筋修复中症状静脉血栓栓塞的发病率：临时队列研究

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Background: Surgical repair of proximal hamstring avulsion injuries can enable the return to preinjury levels of sporting function and minimize the risk of recurrence in both professional and recreational athletes. While venous thromboembolism (VTE) is a recognized complication of surgical repair, the incidence thereof is poorly reported in the literature. Purpose/Hypothesis: To report the incidence of symptomatic VTE after proximal hamstring avulsion repair and assess the efficacy of our thromboprophylaxis protocol. It was hypothesized that the incidence of VTE after proximal hamstring avulsion repair is low and that aspirin is an adequate choice of chemical prophylaxis. Study Design: Cohort study; Level of evidence, 2. Methods: We performed a prospective cohort study of 2 groups of patients who underwent proximal hamstring avulsion (partial and complete) repair between 2000 to 2020 with different thromboprophylaxis protocols. No patients were routinely screened for VTEs, and VTE was investigated only if clinically indicated. Prospectively collected data included demographics, the mechanism and sport that caused injury, use of bracing, and clinical diagnosis of deep vein thrombosis (DVT) or pulmonary embolism (PE). The first cohort (n = 380) was given mechanical prophylaxis in the form of compression stockings for 6 weeks postoperatively. The second cohort (n = 600) was given compression stockings and aspirin 150 mg once daily routinely, or prophylactic low–molecular weight heparin in high-risk individuals, until the 6-week follow-up. Patients in both cohorts underwent early mobilization after surgery; a hinged knee brace locked at 60° to 120° was provided if the tendon repair was under significant tension. The surgical technique and rehabilitation protocol remained consistent throughout the study. Results: The overall incidence of symptomatic VTE was 0.51%. A total of 5 patients developed symptomatic VTEs (3 DVTs, 2 PEs) in the first cohort, and no patients developed symptomatic VTEs in the second cohort (1.32% vs 0%; P = .0048). Conclusion: The incidence of symptomatic VTE after proximal hamstring avulsion repairs was extremely low. A combination of aspirin, early mobilization despite bracing, compression stockings, and good hydration was an effective thromboprophylaxis strategy.
机译：背景：近端腿筋撕裂伤害的手术修复可以恢复前津属体育功能水平，并尽量减少专业和休闲运动员复发的风险。虽然静脉血栓栓塞（VTE）是手术修复的公认并发症，但其发病率在文献中差。目的/假设：报告近端腿筋撕裂修复后症状VTE的发生率，评估我们血管丙基乙基方案的疗效。假设近端腿筋撕裂修复后VTE发生率低，并且阿司匹林是一种足够的化学预防选择。研究设计：队列研究;证据级别，2.方法：我们对2000至2020的近端腿筋撕裂（部分和完全）修复进行了不同的血栓其方案，对2组患者进行了预期队列研究。没有患者常规筛选VTES，只有在临床上表明时才研究了VTE。潜在收集的数据包括人口统计数据，造成伤害，使用支撑的机制和运动，以及深静脉血栓形成（DVT）或肺栓塞的临床诊断（PE）。第一个队列（n = 380）被术后6周以压缩袜形式给予机械预防。第二个队列（n = 600）被给予压缩鳞片和阿司匹林150毫克每日一次，或预防性低分子量肝素，直至6周随访。患者在两组队伍中进行了手术后早期动员;如果肌腱修复在显着的张力下，则提供铰接膝盖在60°至120°处锁定。手术技术和康复协议在整个研究中保持一致。结果：对症VTE的总发病率为0.51％。共有5名患者在第一个队列中出现症状VTE（3 DVTS，2 PE），没有患者在第二个队列中发育症状VTE（1.32％Vs 0％; P = .0048）。结论：近端腿筋撕裂修理后症状VTE的发生率极低。阿司匹林，早期动员尽管支撑，压缩长袜和良好的水合，是一种有效的血栓性致策略。

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