Ten Precursors to Postoperative Blood Clots in Tibial Plateau Fractures… Are They True?

The claim of ten precursors of blood clots after tibial plateau surgery lacks scientific basis. Thrombosis after tibial plateau surgery will be accompanied by corresponding symptoms, clinically known as the 5p syndrome, which is characterized as follows.
1. Pain: pain usually occurs in the distal limb of the embolism, which is caused by distal ischemia, relieved after rest and aggravated after exercise. With the prolongation of the disease, the pain will be reduced due to the necrosis of the distal tissues.
2. Sensory abnormalities (paresthesia): Sensory abnormalities usually occur in the distal limb of the thrombus, nerve cells are more sensitive to ischemia, so sensory abnormalities often occur in the early stage of thromboembolism.
3. Paraslysis: usually due to muscle paralysis or necrosis caused by ischemia, resulting in muscle weakness and dyskinesia.
4. pulselessness: when there is a thrombus, the distal arterial pulsation will be weakened, which may lead to pulselessness in severe cases.
5. Pallor: The blood supply to the distal limb is impaired due to the blockage of blood flow caused by the thrombus, resulting in pale skin, accompanied by coldness of the limb, especially at the end of the limb.
After tibial plateau fracture surgery, avoid spicy stimulation, quit smoking and drinking, perform proper leg muscle contraction exercise, and use anticoagulant drugs to prevent thrombosis if necessary.