Abstract:

OBJECTIVE: To evaluate the clinical application value of ultrasound in deep vein thrombosis (DVT) formation and hip knee osteoarthrosis following artificial joint replacement.
METHODS: A computer-based online search of CBM and CNKI was performed for self-control and randomized controlled trials regarding DVT formation following artificial joint replacement, as well as hip and knee osteoarthrosis using color Doppler ultrasound published between 1993 and 2010. Repetitive studies and Meta analysis were excluded.
RESULTS: A total of 721 cases undergoing hip or knee joint replacement were involved, and 756 hip (knee) joints were subjected color Doppler ultrasound examination. A total of 17 control studies were collected, involving 1 591 knee joints. All studies did not describe allocation concealment or blind methods. Results show that color Doppler ultrasound is sensitive and specific in examination of DVT following artificial joint replacement. Ultrasound feature of rheumatoid arthritis is mainly characterized by thickened synovial membrane, and knee osteoarthritis is characterized by cartilage and bone destruction.
CONCLUSION: Ultrasound can clearly observe DVT and venous valve function following joint replacement, and can serve as the first choice for monitoring DVT before and after hip/knee joint replacement to observe thrombus to provide reliable evidence for clinical diagnosis and treatment. In addition, ultrasound examination is highly sensitive and specific and therefore can provide objective evidence for diagnosis and treatment of hip, knee joint and surrounding soft tissues.