Prevention of venous thromboembolism after hip or knee arthroplasty: findings from a 2008 survey of US orthopedic surgeons

J Arthroplasty. 2012 May;27(5):659-66.e5. doi: 10.1016/j.arth.2011.09.001. Epub 2011 Oct 27.

Abstract

A survey was mailed to a representative sample of US orthopedic surgeons to assess protocols for the prevention of venous thromboembolism after lower extremity total joint arthroplasty. Practices were examined by type of operation, annual surgical volume, and opinions of consensus guidelines issued by the American Academy of Orthopaedic Surgeons and the American College of Chest Physicians. Although there was near-unanimous agreement that routine thromboprophylaxis should be the standard practice for patients who undergo hip or knee arthroplasty, surgeons were divided as to the exact management approach.

MeSH terms

  • Anticoagulants / therapeutic use
  • Arthroplasty, Replacement, Hip / adverse effects
  • Arthroplasty, Replacement, Hip / statistics & numerical data*
  • Arthroplasty, Replacement, Knee / adverse effects
  • Arthroplasty, Replacement, Knee / statistics & numerical data*
  • Aspirin / therapeutic use
  • Drug Monitoring / statistics & numerical data
  • Humans
  • Orthopedics / education
  • Orthopedics / statistics & numerical data*
  • Population Surveillance
  • Practice Guidelines as Topic
  • Practice Patterns, Physicians' / statistics & numerical data*
  • Societies, Medical / statistics & numerical data
  • Stockings, Compression / statistics & numerical data
  • United States / epidemiology
  • Venous Thromboembolism / epidemiology*
  • Venous Thromboembolism / etiology
  • Venous Thromboembolism / prevention & control*
  • Warfarin / therapeutic use

Substances

  • Anticoagulants
  • Warfarin
  • Aspirin