Kevin D Plancher1, Jimmy J Chan, Shariff K Bishai, Michael Silane, Tarik F Ibrahim, Stephanie C Petterson. 1. 1Albert Einstein College of Medicine, Department of Orthopaedic Surgery, Bronx, New York 2Plancher Orthopaedics and Sports Medicine, New York, New York 3Orthopaedic Foundation, Stamford, Connecticut 4Michigan State University College of Osteopathic Medicine, East Lansing, Michigan 5Weill-Cornell Medical School, Department of Orthopaedic Surgery, New York, New York.
Abstract
Deep vein thrombosis (DVT) after arthroscopy has been considered a rare event; however, recent studies using ultrasound and venography have shown that the incidence of DVTs is underestimated. CASES:: This report describes 3 patients with DVT and/or PE after knee arthroscopy who were attributed to a genetic predisposition of hypercoagulability unknown to the patient and surgeon. CONCLUSIONS: : Genetic predisposition and autoimmune antibodies may play a role in the development of DVT after knee arthroscopy. We recommend focused questions regarding family history be added to the standard DVT/PE preoperative questionnaire.
Deep vein thrombosis (DVT) after arthroscopy has been considered a rare event; however, recent studies using ultrasound and venography have shown that the incidence of DVTs is underestimated. CASES:: This report describes 3 patients with DVT and/or PE after knee arthroscopy who were attributed to a genetic predisposition of hypercoagulability unknown to the patient and surgeon. CONCLUSIONS: : Genetic predisposition and autoimmune antibodies may play a role in the development of DVT after knee arthroscopy. We recommend focused questions regarding family history be added to the standard DVT/PE preoperative questionnaire.