Risk Factors Associated With Venous Leg After Hip replacement | Dr Mehta spine

1
(No Transcript)
2
Leg Vein Ulcers Causes, Treatment and
Association with Hip Replacement Surgery
Venous leg ulcers are painful sores on the inside
of the leg that usually taking more than 2 weeks
to heal. They are open sores that commonly
develop above the ankles causing pain, itching,
and swelling in the area affected. These venous
leg ulcers may result in swollen ankles, local
discolouration, itchy flaky skin and foul
discharge. While risk factors of venous leg
ulcers may include health conditions like obesity
and medical conditions like varicose veins it was
also observed that the incidence of venous leg
ulcers tends to be more after hip replacement
surgery. So in this blog, we discuss causes,
treatment options for venous leg ulcers. And then
discuss the relation between hip replacement
surgery and venous leg ulcers based on research
study conducted by Children and Adult Spinal
Surgeon Mr Jwalant S Mehta and his team of
medical researchers. Read on

3
Leg Vein Ulcers Causes, Treatment and
Association with Hip Replacement Surgery
What causes venous leg ulcers? Damage to the
valves inside the legs is the root cause of
venous ulcers. These valves regulate the blood
pressure in the veins every time we walk. When
these valves do not work properly the blood
pressure in the legs may consistently surge. This
sustained pressure on the veins may damage them
internally and this increases the skin breaking
out in the form of an open sore even for a minor
injury, causing an ulcer. These Ulcers are open
sores that may occur in any area of skin but
commonly happen on the legs. In addition to the
malfunctioning of valves, varicose veins or
chronic venous insufficiency where the blood
pools in the leg may also cause venous leg ulcers.
4
Leg Vein Ulcers Causes, Treatment and
Association with Hip Replacement Surgery
Who is at more risk of developing venous leg
ulcers? Having a specific condition that creates
blood flow problems in the legs may increase the
risk of venous leg ulcers. Obesity, previous
history of Deep Vein Thrombosis, varicose veins,
previous history of hip or knee replacement
surgeries or even ageing may increase the risk of
venous leg ulcers. Treatment and Prevention of
Venous Ulcers Cleaning, dressing, avoiding skin
sensitive products, antibacterial ointments and
oral antibiotic medicines are involved in
treating venous ulcers. However, it is better to
take preventive measures especially if the
patient is at high risk of venous leg ulcers.
Avoiding smoking, losing weight, consistent
activity to improve blood flow, exercise, and
avoiding compression clothing are some of the
preventive measures suggested.
5
Leg Vein Ulcers Causes, Treatment and
Association with Hip Replacement Surgery
Relation between Venous Leg Ulcers Hip
Replacement Surgery As mentioned in the risk
factors above knee and hip replacement
surgeries happen to increase the risk of
suffering venous leg ulcers. The risk is closely
related to Deep Vein Thrombosis which is commonly
found in patients after hip replacement surgery.
Research studies were performed to estimate the
incidence of venous leg ulcers in patients post
hip replacement surgery. Children and Adult
Spinal Surgeon Mr Jwalant S Mehta along with N.
Nicolaou, S. Kiryluk, M. J. F. Fordyce from The
Horder Centre for Arthritis, Crowborough, England
performed an extensive research study to evaluate
the incidence of venous leg ulcers after hip
replacement surgery.
6
Leg Vein Ulcers Causes, Treatment and
Association with Hip Replacement Surgery
The extensive study that was performed with 816
patients concluded that leg ulcers tend to
develop more commonly on the operated side after
a mean period of 5.8 years posts the first
arthroplasty. You can find details about this
research study performed by Children and Adult
Spinal Surgeon Mr Jwalant S Mehta, here
https//www.mehtaspine.co.uk/presentations/venous-
ulcers-jbjs.pdf
7
Contact us

• Royal Orthopaedic Hospital
• BMI The Priory Hospital
• Spire Parkway Hospital
• Bromsgrove Private Clinic

8
Contact and Connect

• Clinical secretary Samantha Leavy 44 785 021
  1939
• Medico-legal secretary Jan Clarke 44 121
  4508928
• Spire Parkway Hospital 0121 704 5500
• BMI NEC (National Enquiry Centre) 0808 101 0337
• BMI Priory 0121 446 1638
• Email secretary_at_mehtaspine.co.uk
• The appointments are booked through the clinic