Table of Contents
Volume 2012, Article ID 324320, 3 pages
Review Article

Are We Missing Post-Thrombotic Syndrome Syndrome? An Orthopaedic Perspective in Lower Limb Arthroplasty

Trauma and Orthopaedic Unit, Ninewells Hospital, Dundee, UK

Received 16 July 2011; Accepted 5 September 2011

Academic Editor: Kurosh Parsi

Copyright © 2012 M. Reidy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2–5% of patients undergoing hip or knee arthroplasty develop a symptomatic DVT; there is evidence to suggest that without prophylaxis 40–60% of patients have a subclinical DVT. This can be reduced by around half with appropriate thromboprophylaxis; there still remains a significant incidence of subclinical DVT. Therefore, it is important to know, as orthopaedic surgeons, if our patients undergoing large joint arthroplasty are being adversely affected. Post-thrombotic syndrome (PTS) is usually associated with symptomatic DVT, and the purpose of this paper is to address if asymptomatic DVT is also associated with an increased risk of PTS. The majority of evidence gathered does not support a link; therefore, there is no evidence to warrant a change in practice to warn patients of a potential risk or to routinely screen asymptomatic patients.