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What Are The Risks For DVT If There Is Comminuted Fracture Of The Distal Fibular Shaft?

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Posted on Wed, 7 Nov 2012
Question: What are the risks for DVT if: 1. comminuted fractrure of the distal fibular shaft, and a transverse fractrure of the medial malleolus, widening of the medial tibiotalar joint - 2. three days of bedrest with no prophylaxis and a splint - 3 Hyperlipidemia - 4 sheath insertion of Fem ART, coronary angiogram L& R - 5 low heme, hematrocrit and RBC - 6 High glucose and alkaline phosphatase - 7 low INR .9 and low PROTime 12.2
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Answered by Dr. Robert Galamaga (29 minutes later)
Hello and thanks for the query,

Fracture is a risk for DVT. After this is repaired or addressed surgically you should be placed on prophylaxis with compression stockings or possibly heparin. his is at the judgement of your surgeon. Also - ambulation needs to be done as soon as possible to lower your risks of DVT.

Your protime is normal - no worry there for risk of DVT.

Bedrest is a risk for DVT which is why we often have patients wear stockings. Ask your doctor about that.

Hyperlipidemia, anemia and the femoral artery sheath issue are not worrisome in this setting for DVT.

Thanks again for your query. Again - early ambulation and prophylaxis as deemed appropriate by your surgeon should be done as soon as possible.

Please let me know if you have any additional concerns.
Sincerely,

Dr. Galamaga
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Robert Galamaga (2 minutes later)
Thank you very much for your time.

So, a cardiac XXXXXXX and a femoral artery XXXXXXX do not increase risks for DVT?

Thank you.
doctor
Answered by Dr. Robert Galamaga (14 hours later)
They should not increase risk. These are arterial procedures so I feel the risk for DVT related to them is minimal.

Thanks,

Dr G
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Robert Galamaga

Oncologist

Practicing since :2002

Answered : 2635 Questions

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What Are The Risks For DVT If There Is Comminuted Fracture Of The Distal Fibular Shaft?

Hello and thanks for the query,

Fracture is a risk for DVT. After this is repaired or addressed surgically you should be placed on prophylaxis with compression stockings or possibly heparin. his is at the judgement of your surgeon. Also - ambulation needs to be done as soon as possible to lower your risks of DVT.

Your protime is normal - no worry there for risk of DVT.

Bedrest is a risk for DVT which is why we often have patients wear stockings. Ask your doctor about that.

Hyperlipidemia, anemia and the femoral artery sheath issue are not worrisome in this setting for DVT.

Thanks again for your query. Again - early ambulation and prophylaxis as deemed appropriate by your surgeon should be done as soon as possible.

Please let me know if you have any additional concerns.
Sincerely,

Dr. Galamaga