Key result
Post-procedural LMWH or NOACs prevent VTE after major orthopedic surgery.
Why the study?
Venous thromboembolism incidence is higher in orthopaedic surgeries than other specialties, and optimal anticoagulation strategies remain to be clarified.
Does anticoagulation prevent thromboembolic events in patients undergoing orthopaedic surgeries?
Does anticoagulation prevent thromboembolic events in patients undergoing orthopaedic surgeries?
This review discusses guidelines and patient factors for optimal anticoagulation to prevent venous thromboembolism in orthopaedic practice.
Answers are grounded in this paper and cite their sources.
May inform patient-specific VTE prophylaxis in orthopaedics; leaves open optimal regimens pending prospective validation.
Venous thromboembolism is a known complication following fractures and surgery. The incidence in orthopaedic surgeries is higher than in other specialities. Proper post procedural anticoagulation will help prevent most thromboembolic events. Several guidelines have been published directing the use of anticoagulation, most optimal agent to use and duration. The decision to anticoagulated must be based on a case-by-case basis considering patient factors as well. The following review article attempts to address these issues regarding anticoagulation in orthopaedic practice.
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K. H. B. P. Fernandopulle (2022) conducted a review in Venous thromboembolism in orthopaedic surgery. Anticoagulation was evaluated. Proper post-procedural anticoagulation, particularly with low molecular weight heparins or newer oral anticoagulants, is recommended to prevent venous thromboembolism following major orthopaedic surgeries.
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