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Arterial complications, venous thromboembolism and deep venous thrombosis prophylaxis after anterior cruciate ligament reconstruction: A systematic review

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World Journal of Orthopedics 2016年第9期7卷 604-617页

作者： Rob Paulus Augustinus janssen Max Reijman Daan Martijn janssen jan bernardus antonius van mourik Department of Sports Medicine and Orthopaedic Surgery Máxima Medical Center Department of Orthopaedics and Trauma Máxima Medical Center Department of Orthopaedic Surgery Erasmus MC University Medical Center Rotterdam

AIM To summarize the current knowledge on vascular complications and deep venous thrombosis(DVT) prophylaxis after anterior cruciate ligament(ACL) *** A systematic review was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement. MEDLINE, EMBASE, Cochrane,Web of Science, CINAHL, PubMed publisher, and Google scholar medical literature databases were searched up to November 10, 2015. Any arthroscopic surgical method of primary or revision intra-articular ACL reconstruction of all graft types in humans was included. A risk of bias assessment was *** Fourty-seven studies were included in the *** were the most frequently reported arterial complication after ACL reconstruction, irrespective of graft type or method of graft fixation with an incidence of 0.3%. The time to diagnosis of arterial complications after ACL reconstruction varied from days to mostly weeks but even years. After ACL reconstruction without thromboprophylaxis, the incidence of DVT was 9.7%, of which 2.1% was symptomatic. The incidence of pulmonary embolism was 0.1%. Tourniquet time > 2 h was related to venous *** is indicated in patients with risk factors for venous *** After ACL reconstruction, the incidence of arterial complications,symptomatic DVT and pulmonary embolism was 0.3%, 2.1% and 0.1% respectively. Arterial complications may occur with all types of arthroscopic ACL reconstruction, methods of graft fixation as well as any type of graft. Patients considered to be at moderate or high risk of venous thromboembolism should routinely receive thromboprophylaxis after ACL reconstruction.

关键词： Anterior cruciate ligament reconstruction Arterial complication Pseudoaneurysm Venous thromboembolism Pulmonary embolism Thromboprophylaxis

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