Key result
Major orthopaedic surgery carries high VTE risk, particularly with advanced age, cancer, or prior VTE.
Why the study?
Patients undergoing major orthopaedic surgery are at particularly high risk for venous thromboembolism, especially those with additional risk factors such as age over 60, cancer, or prior VTE.
Key points are not available for this paper at this time.
Population
Patients undergoing major orthopaedic surgery including hip and knee arthroplasty
Design
Clinical review
Requires vigilant VTE prophylaxis in high-risk orthopaedic surgery patients; leaves open optimal agent selection and duration.
Venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), is a common cause of cardiovascular mortality and morbidity. Patients undergoing major orthopaedic surgery, including hip and knee arthroplasty, represent a group that is at particularly high risk for VTE, especially patients with risk factors (age > 60 years, cancer, prior VTE).
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Rogers et al. (2010) studied this question. Major orthopaedic surgery confers a particularly high risk for venous thromboembolism, especially in patients with risk factors such as age over 60 years, cancer, or prior VTE.
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