Abstract: Background: Venous thrombo-embolism is a leading cause of morbidity and mortality- in operated patients in the rest of the world. Commonest site of DVT is in lower limbs. Venous thrombo-embolism incidence in patients undergoing orthopaedic surgery was estimated ranging from 32 to 88% in western population. In Indian patients there is significantly reduced information regarding incidence of deep vein thrombosis.
Methods: Study was conducted in Department of Orthopaedics, Mahatma Gandhi Medical College and Hospital. All the patients undergoing major lower limb Orthopaedic Surgery in Mahatma Gandhi Medical College and Hospital, Jaipur from January -18 to June -19 will be included in the study. Systemic random sampeling will be used in selecting the study population. All patients will be undergoing ultrasonic evaluation of deep veins preoperatively and on 4th post operative day and 3 months.
Results: A total of 183 patients were in the study, out of which 9 patients developed deep vein thrombosis. Most of the patients of our study were from younger age group 18–30 years. Most common type of surgery in our study was open surgery (54.09%). Most common type of injury in our study was RTA (72.68%). In present study patients were belong to DVT criteria 2, 28.42% patients were belong to DVT criteria 4, 19.13% patients were belong to DVT criteria 3 and 17.49% patients were belong to DVT criteria 1. 67.21% patients duration of surgery was less than 2 Hrs and 32.79% patients duration of surgery was more than 2 Hrs. In present study out of 183, 9 (4.92%) patients with DVT, all patients developed DVT post operatively and was diagnosed on 4th post operative day.
Conclusions: We found enough evidence in the Western literature to advocate routine thrombo- prophylaxis for patients undergoing surgery for fractures of lower limb. From our study, it appears that DVT in Indian patients with lower limb trauma is a fairly low-incidence problem.
