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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 2/2014

01-06-2014 | TKA Symposium (P Sancheti, Section Editor)

Venous Thromboembolism (VTE) Prophylaxis for Hip and Knee Arthroplasty: Changing Trends

Authors: Nicolaas C. Budhiparama, Matthew P. Abdel, Nadia N. Ifran, Sébastien Parratte

Published in: Current Reviews in Musculoskeletal Medicine | Issue 2/2014

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Abstract

Venous thromboembolism (VTE) has been identified as an immediate threat to patients undergoing major orthopedic procedures such as total hip arthroplasty (THA) and total knee arthroplasty (TKA). Given the known dangers of VTE, arthroplasty surgeons are sensitive to the need for VTE thromboprophylaxis. However, the modalities of thromboprophylaxis used to minimize the risks to patients have been variable. Clinical practice guidelines have been published by several professional organizations, while some hospitals have established their own protocols. The 2 most popular guidelines are those published by the Academy of Orthopaedic Surgeons (AAOS) and American College of Chest Physicians (ACCP), both from North America. Prior to 2012, these recommendations varied depending on underlying definitions, methodology, and goals of the 2 groups. For the first time, both groups have similar recommendations that focus on minimizing symptomatic VTE and bleeding complications. The key to determining the appropriate chemoprophylaxis for patients is to balance efficacy of a prophylactic agent, while being safe in regards to bleeding complications. However, a multimodal approach that focuses on early postoperative mobilization and the use of mechanical prophylaxis, in addition to chemoprophylaxis, is essential.
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Metadata
Title
Venous Thromboembolism (VTE) Prophylaxis for Hip and Knee Arthroplasty: Changing Trends
Authors
Nicolaas C. Budhiparama
Matthew P. Abdel
Nadia N. Ifran
Sébastien Parratte
Publication date
01-06-2014
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 2/2014
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-014-9207-1

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