{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T18:18:15Z","timestamp":1792606695436,"version":"4.5.0"},"reference-count":21,"publisher":"Universa BV","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Orthop Belg"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>Deep venous thrombosis (DVT) has insidious clinical symptoms, and only a few patients suffer from lower limb swelling, tenderness and dorsal flexion pain. We aimed to explore the ultrasonographic features and risk factors of postoperative lower limb DVT in patients with lower limb fractures. Ninety patients with lower limb fractures admitted from January 1st, 2021 to June 30th, 2023 were selected. Color Doppler ultrasonography was performed one month after operation, and the ultrasonographic features were recorded. DVT was diagnosed according to the results of venography, based on which the patients were divided into a DVT group and a non-DVT group. Their basic and treatment-related data were compared. The risk factors for postoperative DVT were screened by multivariate logistic regression analysis. A total of 63 cases were diagnosed with DVT by venography, with a detection rate of 70.00%. A total of 69 cases were diagnosed with DVT by ultrasonography, with a detection rate of 76.67% (P&gt;0.05). The concurrent internal medicine diseases, associated injuries, no preventive measures for thrombosis, operation time \u22652 h, no active or passive exercise after operation, pelvic and proximal femoral fractures, knee fractures and tibiofibular fractures were risk factors for postoperative DVT in patients with lower limb fractures (P&lt;0.05). Ultrasonography is effective for diagnosing postoperative lower limb DVT in patients with lower limb fractures. Related preventive measures should be taken promptly to control the risk factors.<\/jats:p>","DOI":"10.52628\/90.4.12834","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T11:00:27Z","timestamp":1737975627000},"page":"665-671","source":"Crossref","is-referenced-by-count":3,"title":["Ultrasonographic features and risk factors of postoperative lower limb deep venous thrombosis in patients with lower limb fractures"],"prefix":"10.52628","volume":"90","author":[{"given":"Xuan","family":"Zheng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoli","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingbin","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jundong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingjing","family":"Qiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27062","published-online":{"date-parts":[[2025,1]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Sems SA, Levy BA, Dajani K, Herrera DA, Templeman DC. Incidence of deep venous thrombosis after temporary joint spanning external fixation for complex lower extremity injuries. J Trauma. 2009 Apr;66(4):1164-1166.","DOI":"10.1097\/ta.0b013e318183801e"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Hirsh J, Lee AY. How we diagnose and treat deep vein thrombosis. Blood. 2002 May 1;99(9):3102-3110.","DOI":"10.1182\/blood.v99.9.3102"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Stevens H, McFadyen J, Chan N. Advances in the Management of Acute Venous Thromboembolism and New Therapeutic Agents. Semin Respir Crit Care Med. 2021 Apr;42(2):218-232.","DOI":"10.1055\/s-0041-1723953"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Douek P, Rotzinger DC, Meuli RA, Dunet V, Schmidt S. Impact of CT venography added to CT pulmonary angiography for the detection of deep venous thrombosis and relevant incidental CT findings. 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Diagnostic value of point-of-care ultrasound in deep vein thrombosis in the emergency department. J Clin Ultrasound. 2020 Nov;48(9):527-531.","DOI":"10.1002\/jcu.22892"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Wenger N, Sebastian T, Engelberger RP, Kucher N, Spirk D. Pulmonary embolism and deep vein thrombosis: Similar but different. Thromb Res. 2021 Oct;206:88-98.","DOI":"10.1016\/j.thromres.2021.08.015"},{"key":"ref8","unstructured":"Lifen WU. Exploration on the Prevention and Nursing of Deep Venous Thrombosis During Perioperative Period of Lower Limb Fracture Surgery. Chinese and Foreign Med Res. 2019;17:113-114."},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Jiang T, Yao Y, Xu X, Song K, Pan P, Chen D, et al. Prevalence and Risk Factors of Preoperative Deep Vein Thrombosis in Patients with End-Stage Knee Osteoarthritis. 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Clin Appl Thromb Hemost. 2021 Jan- Dec;27:1076029620987630.","DOI":"10.1177\/1076029620987630"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Bo XW, Sun LP, Wan J. Accuracy of point-of-care tele- ultrasonography for assisting ultrasound-naive resident doctors in detecting lower-limb deep venous thrombosis: A prospective controlled trial. Biomed Signal Process Control. 2022;77:103738.1-7.","DOI":"10.1016\/j.bspc.2022.103738"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Zhu Y, Meng H, Ma J, Zhang J, Li J, Zhao K, et al. Prevalence of Preoperative Lower Extremity Deep Vein Thrombosis in Bilateral Calcaneal Fractures. J Foot Ankle Surg. 2021 Sep- Oct;60(5):950-955.","DOI":"10.1053\/j.jfas.2021.04.002"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"Meadway J, Nicolaides AN, Walker CJ, O\u2019Connell JD. Value of Doppler ultrasound in diagnosis of clinically suspected deep vein thrombosis. Br Med J. 1975 Dec 6;4(5996):552- 554.","DOI":"10.1136\/bmj.4.5996.552"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"Luo Z, Chen W, Li Y, Wang X, Zhang W, Zhu Y, et al. Preoperative incidence and locations of deep venous thrombosis (DVT) of lower extremity following ankle fractures. Sci Rep. 2020 Jun 24;10(1):10266.","DOI":"10.1038\/s41598-020-67365-z"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"Tan Z, Hu H, Deng X, Zhu J, Zhu Y, Ye D, et al. Incidence and risk factors for deep venous thrombosis of lower extremity after surgical treatment of isolated patella fractures. J Orthop Surg Res. 2021 Jan 28;16(1):90.","DOI":"10.1186\/s13018-021-02240-9"},{"key":"ref18","doi-asserted-by":"publisher","unstructured":"Nitta D, Mitani H, Ishimura R, Moriya M, Fujimoto Y, Ishiwata S, et al. Deep vein thrombosis risk stratification. 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