Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (13): 2023-2027.doi: 10.3969/j.issn.2095-4344.2015.13.011

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Different anticoagulant drugs during knee joint replacement: changes of hemorheology

Hu Yong1, 2, Peng Dan1, Shen Yi1, Chen Xia1   

  1. 1Department of Orthopedics, Xiangya Second Hospital of Central South University, Changsha 410000, Hunan Province, China; 2Department of Orthopedics, Hainan Nongken Nada Hospital, Danzhou 571700, Hainan Province, China
  • Received:2015-02-10 Online:2015-03-26 Published:2015-03-26
  • Contact: Peng Dan, M.D., Chief phyciain, Professor, Department of Orthopedics, Xiangya Second Hospital of Central South University, Changsha 410000, Hunan Province, China
  • About author:Hu Yong, Attending physician, Department of Orthopedics, Xiangya Second Hospital of Central South University, Changsha 410000, Hunan Province, China; Department of Orthopedics, Hainan Nongken Nada Hospital, Danzhou 571700, Hainan Province, China

Abstract:

BACKGROUND: After knee joint replacement, patients are often treated with Rivaroxaban and Enoxaparin Sodium for postoperative anticoagulation, avoiding the formation of deep vein thrombosis in lower limbs.
OBJECTIVE: To explore the application effects of different anticoagulant drugs in patients with knee joint replacement.
METHODS: Ninety patients underwent knee joint replacement in Xiangya Second Hospital of Central South University from July 2011 to July 2014, were randomly divided into two groups, with 45 patients in each group. The experimental group was treated with Rivaroxaban, while the control group was treated with Enoxaparin.
RESULTS AND CONCLUSION: Postoperative drainage volume, total blood transfusion, bleeding index, quantity of blood platelet, activated partial thromboplastin time, thrombin reduction time, whole blood viscosity, plasma viscosity, D-dimer coagulation index, HSS score at postoperative 2 weeks, average ecchymosis area, average thigh circumference, and average leg circumference were significantly better in the experimental group, than in the control group (P < 0.05). The incidence of deep vein thrombosis of lower limbs in the experimental group was lower than that in the control group (P < 0.05). Experimental findings indicate that, both Rivaroxaban and Enoxaparin can exert anticoagulation effect during the knee joint replacement, and Rivaroxaban is better.


中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程


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Key words: Tissue Engineering, Knee Joint, Thrombosis

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