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Editorial commentary reviews low usefulness of routine thromboprophylaxis in knee arthroscopy patients, suggesting targeted approaches instead.
Earlier research on venous thromboembolism following surgery tended to emphasize the rate of imaging-detected events, regardless of symptoms. Even then, the overall rate of this was relatively low following arthroscopic knee surgery, arguing against the need for universal chemoprophylaxis. Later evidence revealed the rate of symptomatic disease to be an order of magnitude lower than clot-imaging studies suggested. However, prophylaxis for those at higher risk of developing clots may be prudent after knee arthroscopy, and aspirin may be a reasonable choice for this purpose.
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Omer A. Ilahi (2026) studied this question.
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