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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 5/2013

01-05-2013 | CORR Insights™

CORR InsightsTM: Risk of Thromboembolism in Shoulder Arthroplasty: Effect of Implant Type and Traumatic Indication

Author: Robert G. Marx, MD, MSc, FRCSC

Published in: Clinical Orthopaedics and Related Research® | Issue 5/2013

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Excerpt

Few data guide the decision regarding whether to anticoagulate patients undergoing shoulder arthroplasty. Navarro et al. found a risk of 0.5% for deep venous thrombosis and pulmonary embolism after shoulder arthroplasty. The largest study to date studied more than 300,000 patients using administrative data and found similar rates (0.5% and 0.23%, respectively) [2]. The risk of thromboembolic disease after shoulder arthroplasty is much less than after total hip or knee replacement, and therefore, it remains unclear whether patients should receive anticoagulants after shoulder replacement. …
Literature
1.
Bloomfield MR, Patterson RW, Froimson MI. Complications of anticoagulation for thromboembolism in early postoperative total joint arthroplasty. Am J Orthop. 2011;40:148–151.CrossRef
2.
Lyman S, Sherman S, Carter TI, Bach PB, Mandl LA, Marx RG. Prevalence and risk factors for symptomatic thromboembolic events after shoulder arthroplasty. Clin Orthop Relat Res. 2006;448:152–156.PubMedCrossRef
3.
Parvizi J, Ghanem E, Joshi A, Sharkey PF, Hozack WJ, Rothman RH. Does “excessive” anticoagulation predispose to periprosthetic infection? J Arthroplasty. 2007;22:24–28.PubMedCrossRef
4.
Torn M, Bollen WL, van der Meer FJ, van der Wall EE, Rosendaal FR. Risks of oral anticoagulant therapy with increasing age. Arch Intern Med. 2005;165:1527–1532.PubMedCrossRef
Metadata
Title
CORR InsightsTM: Risk of Thromboembolism in Shoulder Arthroplasty: Effect of Implant Type and Traumatic Indication
Author
Robert G. Marx, MD, MSc, FRCSC
Publication date
01-05-2013
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 5/2013
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-013-2887-9

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