American College of Foot and Ankle Surgeons' clinical consensus statement: risk, prevention, and diagnosis of venous thromboembolism disease in foot and ankle surgery and injuries requiring immobilization

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Adam E FleischerValerie L Schade

Abstract

The purpose of this document is to provide guidance for physicians regarding the risk, prevention, and diagnosis of venous thromboembolism disease after foot and ankle surgery and while caring for lower extremity injuries that require ankle immobilization. A panel composed of all authors of this document reviewed the published evidence and, through a series of meetings, reached consensus regarding the viewpoints contained herein. We conclude that routine chemical prophylaxis is not warranted; rather, patients should be stratified and have a prevention plan tailored to their individual risk level. An effective venous thromboembolism prevention program is typically multimodal and focuses on addressing any modifiable risk factors, use of mechanical prophylaxis, early mobilization, and careful consideration of the use of chemical prophylaxis. The final decision regarding use and method(s) of prophylaxis adopted should be agreed upon by both the clinician and patient after a discussion of the potential benefits and harms as they relate to the individual. This should take place preferably during the preoperative visit or in the immediate post-injury setting, and it may need to be revisited during the course of care if the patient's r...Continue Reading

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Citations

Feb 9, 2018·Current Sports Medicine Reports·Jennifer Oberstar, Chrystian Pereira
Apr 24, 2018·Foot & Ankle Specialist·Samuel R HuntleyAshish Shah
Jan 18, 2018·Foot & Ankle Specialist·Jemma H MatthewsPaul A Butterworth
Feb 28, 2019·Foot & Ankle International·X J Ruben StavenuiterDaniel Guss
Oct 6, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Reinout R O HeijboerChristopher W DiGiovanni
Jul 25, 2019·Journal of Orthopaedic Trauma·Chad P ColesUNKNOWN Orthopaedic Trauma Associationʼs Evidence-Based Quality Value and Safety Committee
Oct 18, 2019·Scientific Reports·Naoki HaraguchiShingo Nishizaka
Apr 22, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Simon SvedmanPaul W Ackermann
May 15, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Yanbin ZhuWei Chen

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