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Diabetes mellitus increases the incidence of deep vein thrombosis after total knee arthroplasty

  • Knee Arthroplasty
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Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Many patients undergoing total knee arthroplasty (TKA) have diabetes mellitus, which may increase the risk of deep vein thrombosis (DVT) after TKA. We therefore assessed whether diabetes mellitus increased the incidence of DVT within 14 days after TKA.

Materials and methods

The incidence of DVT within 14 days of surgery was compared in diabetic and non-diabetic patients undergoing TKA in our hospital between June 2011 and February 2013. The relationships between diabetes mellitus and DVT were analyzed.

Results

Of the 358 enrolled patients, 70 (19.6 %) had diabetes and 288 (80.4 %) did not. DVT occurred within 14 days in 198 patients, 52 of 70 (74.3 %) in the diabetes group and 146 of 288 (50.7 %) in the non-diabetes group (p = 0.012). DVT of the contralateral leg was observed in 16 and 50 patients, respectively (p = 0.452). Logistic regression analysis showed that the risk of DVT was 2.71-fold higher in patients with than without diabetes mellitus (95 % CI 1.183–6.212, p = 0.018). There were no significant differences in age, gender, hypertension, BMI, duration of surgery, intra-operative blood loss, and duration of tourniquet between the two groups.

Conclusions

The incidence of DVT 14 days after TKA was significantly higher in patients with than without diabetes.

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Each author certifies that he has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.

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Authors and Affiliations

  1. Department of the Joint and Bone Surgery, Yantaishan Hospital, No. 91, Jiefang Road, Yantai, 264001, Shandong, China

    Zhongyuan Zhao, Shijun Wang, Weihua Ma, Gang Kong, Shudong Zhang & Yuchi Zhao

  2. Department of Respiratory Medicine, Yantaishan Hospital, No. 91, Jiefang Road, Yantai, Shandong, China

    Yan Tang

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  1. Zhongyuan Zhao
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  2. Shijun Wang
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  3. Weihua Ma
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  4. Gang Kong
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  5. Shudong Zhang
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  6. Yan Tang
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  7. Yuchi Zhao
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Correspondence to Yuchi Zhao.

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Zhao, Z., Wang, S., Ma, W. et al. Diabetes mellitus increases the incidence of deep vein thrombosis after total knee arthroplasty. Arch Orthop Trauma Surg 134, 79–83 (2014). https://doi.org/10.1007/s00402-013-1894-3

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  • DOI: https://doi.org/10.1007/s00402-013-1894-3

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