Mobile compression devices and aspirin for VTE prophylaxis following simultaneous bilateral total knee arthroplasty.

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ID: 57641
2015
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Abstract
Recently, Levy et al questioned the effectiveness of mobile compression devices (MCDs) as the sole method of thromboprophylaxis following simultaneous bilateral total knee arthroplasty (TKA). This study's purpose was to assess if the addition of aspirin to MCDs improves venous thromboembolism (VTE) prevention following simultaneous bilateral TKA. Ninety-six patients (192 TKAs) were retrospectively reviewed: 47 patients received MCDs for 10 days and aspirin for 6 weeks postoperatively based on a risk stratification protocol, while 49 patients received warfarin for 4 weeks postoperatively. One symptomatic VTE was noted in the warfarin cohort, while one patient in the MCD/aspirin cohort and three patients in the warfarin cohort were readmitted within 3 months of surgery. In appropriately selected patients, MCDs with aspirin shows promise in VTE prevention following simultaneous bilateral TKA.
Reference Key
nam2015mobilethe Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Nam, Denis;Nunley, Ryan M;Johnson, Staci R;Keeney, James A;Barrack, Robert L;
Journal the journal of arthroplasty
Year 2015
DOI
10.1016/j.arth.2014.10.018
URL
Keywords
aspirin Warfarin thromboprophylaxis bilateral total knee arthroplasty mobile compression devices

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