Evaluation of deep venous thrombosis prophylaxis in low-risk patients undergoing total knee arthroplasty

The Journal of Arthroplasty
John J CallaghanChristopher W Wells

Abstract

Our objective of the study was to address the question: "What is the efficacy of a deep venous thrombosis (DVT) and pulmonary embolus prophylaxis protocol after total knee arthroplasty (TKA) in which low-risk patients had only aspirin and mechanical devices for prophylaxis?" A multimodal approach to DVT prophylaxis using aspirin as the primary mode of chemoprophylaxis was successful in preventing DVT-related morbidity and mortality in 312 consecutive TKAs performed in low-risk patients. There were no DVT-related deaths and no deaths in general at 90 days of follow-up coupled with a low rate of readmission for thromboembolic events and no readmissions or reoperations from bleeding in this group. This low-morbidity, low-cost prophylaxis should be considered an appropriate protocol for low-risk patients undergoing TKA. Of all TKAs performed during the time period of the study, 73% qualified for the low-risk group.

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Citations

Jul 5, 2013·Orthopedics·ZeYu HuangBin Shen
Jul 3, 2013·Clinical Orthopaedics and Related Research·Ibrahim J RaphaelJavad Parvizi
Apr 8, 2014·Current Reviews in Musculoskeletal Medicine·Nicolaas C BudhiparamaSébastien Parratte
Jun 26, 2013·The Journal of Arthroplasty·Vikas Kulshrestha, Santhosh Kumar
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May 31, 2011·The Journal of Arthroplasty·UNKNOWN Intermountain Joint Replacement Center Writing Committee
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Jul 18, 2015·The Journal of Arthroplasty·Denis NamRobert L Barrack
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Oct 19, 2016·The Journal of Arthroplasty·Vincent V G AnWarwick J M Bruce
Jan 13, 2015·Der Internist·K Schrör
Oct 30, 2016·The Journal of Arthroplasty·Tom Schmidt-BraeklingFriedrich Boettner
Jun 8, 2017·The Journal of Bone and Joint Surgery. American Volume·Javad ParviziDavid Beverland
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Jan 6, 2012·The Journal of Bone and Joint Surgery. British Volume·L A PoultsidesE Salvati
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Aug 1, 2019·Revista Brasileira De Ortopedia·Julio Cesar Gali, Danilo Bordini Camargo
Jul 29, 2009·Current Opinion in Pulmonary Medicine

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