Prevalence of Risk Factors of Thromboembolic Complications in Women after Major Joint Arthroplasty in the Republic of Sakha (Yakutia)

• Published in: International Journal of Biomedicine
• Main Authors: Gennady A. Palshin, Stepan S. Pavlov, Mikhail M. Vinokurov, Natalia I. Douglas, Rosa D. Philippova, Valery E. Volovik, Anton A. Yakovlev, Anatoly N. Komissarov, Maria Yu. Markovchina
• Format: Article in Journal/Newspaper
• Language: English
• Published: International Medical Research and Development Corporation 2018
• Subjects: thromboembolic complications; women; endoprosthetics; large joints; Medicine; R; Sakha; Republic of Sakha; Yakutia
• Online Access: https://doi.org/10.21103/Article8(4)_OA13; https://doaj.org/article/655b4e9bd6b1421f8533507b1efc2234

The aim of this study was to assess the risk factors for thromboembolic complications after total arthroplasty of large joints in women in Yakutia conditions to optimize the management tactics of this category of patients. The average age of women was 59.98±11.56 years in the age range from 50 to 70 years. In order to validate the study, women were divided into 2 groups. The main group consisted of 284 women undergoing total knee arthroplasty (Group 1). The comparison group included 147 women undergoing total hip arthoplasty (Group 2). The study demonstrated that hypertension was more common in patients of Group 1 than in patients of Group 2. However, the incidence of coronary heart disease and heart rhythm disorder was detected most frequently in patients with total hip arthroplasty. Obesity, thrombosis of the veins of the lower extremities, and liver disease were detected with almost the same frequency in women with total knee arthroplasty and those with total hip arthroplasty. The frequency of occurrence of complications depending on the risk factors for thromboembolic complications and the type of surgical treatment of the joint was equal in the two groups of studied patients.