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The rate of venous thromboembolism is unacceptable without prophylaxis. Venographic studies of patients without prophylaxis show that the deep vein-thrombosis rates range from 40-84% after total knee replacement, and rates of pulmonary embolism ran ge from 1.5-10%. Surgeons must balance the need for thromboprophylaxis with the need to avoid bleeding complications. The purpose of this study is to evaluate the status of thrombo prophylaxis after primary total knee replacement in ALMouassat university hospital, and to improve our outcome in future, to get better results and fewer complications.
This study includes ٨٠ cases of total knee Arthroplasty, They were treated in Al-Moassat Hospital during the years ٢٠٠٠- ٢٠٠١. Idiopathic primary osteoarthrihis was the main reason for total knee Arthroplasly. Some cases of Rheumatoid arthritis w ere observed too. The short term chinicaln gools of total arthoplasty include restoration of the normal activity of the limb and pain relief , which can be obtained under the proper surgical condition, and requirements, supported by better understanding of the biomechanics of the knee joint and good rehabilitation there after.
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