Deep Vein Thrombosis (DVT) in an Operated Sub Trochanteric Fracture Femur

Introduction: Deep vein thrombosis (DVT) may be seen in polytrauma patients in subclinical or overt presentation. There is high risk of developing deep vein thrombosis following major orthopedic surgery like total hip replacement, total knee replacement or hip fracture surgery. If prophylaxis is not used after these surgeries, symptomatic DVT or Venous thromboembolism (VTE) may develop in 4% patients within 35 days1.

Case Report: A 70 years old lady operated for long oblique sub trochanteric fracture left femur developed DVT in the affected lower limb 10 days after surgery. The diagnosis was confirmed by Doppler study and the condition managed effectively by thrombolysis and inferior vena cava filter application.

Message: DVT should be suspected in elderly persons undergoing hip surgery and prophylaxis be practiced to prevent this complication.

Keywords: Deep Vein Thrombosis, Hip fracture, Prophylaxis.