Key result
Perioperative treatment with heparin sodium, venous foot pump, and inferior vena cava filter enabled successful surgery and satisfactory recovery in a patient with femoral neck fracture and DVT.
Case Report (n=1)
Accurate preoperative assessment and proper perioperative treatment, including anticoagulation and IVC filter placement, can enable successful orthopedic surgery in patients with concurrent DVT.
Deep venous thrombosis (DVT) is an important cause of disability and mortality after major orthopedic surgery. The roles of perioperative treatment and prevention of DVT in patients with femoral neck fractures who require major surgery have not yet been well explored in Chinese clinical practice. Here we report a case of calf muscular venous thrombosis in a 55-year-old woman with femoral neck fracture before surgery. Preventive and treatment measures including the administration of heparin sodium, application of venous foot pump and placement of inferior vena cava filter were taken. The condition of the patient was stable during the perioperative period and the surgery was successful. Besides, postoperative examination showed that the femur healed well and the functional recovery was satisfactory. Our results suggest that femoral neck fracture patients combined with DVT can receive surgery after accurate preoperative assessment and proper preoperative treatment.
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Liu et al. (2015) conducted a case report in Femoral neck fracture with deep venous thrombosis (n=1). Heparin sodium, venous foot pump, and inferior vena cava filter was evaluated on Surgical success and functional recovery. Perioperative treatment with heparin sodium, venous foot pump, and inferior vena cava filter enabled successful surgery and satisfactory recovery in a patient with femoral neck fracture and DVT.
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