Mechanical thromboembolic prophylaxis with risk stratification in total knee arthroplasty.

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ID: 57642
2015
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Abstract
The purpose of this study was to determine the rate of thromboembolic and bleeding complications when using mechanical prophylaxis with preoperative risk stratification following total knee arthroplasty (TKA). Between 1994 and 2007, 4037 TKAs were performed on 3144 patients at our institution. Mechanical VTE prophylaxis was used for standard risk patients, which included AV impulse foot pumps, thigh high stockings, and early mobilization. Chemoprophylaxis was only given to patients who were at increased thromboembolic risk. The incidence of DVT identified by ultrasound following TKA was 2.1%. A retrospective review showed 1 patient had a fatal pulmonary embolism, and 5 patients had bleeding complications in the knee. We conclude that mechanical thromboembolic prophylaxis using risk stratification is safe and effective following TKA.
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hamilton2015mechanicalthe Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Hamilton, William G;Reeves, James D;Fricka, Kevin B;Goyal, Nitin;Engh, Gerard A;Parks, Nancy L;
Journal the journal of arthroplasty
Year 2015
DOI
10.1016/j.arth.2014.08.006
URL
Keywords
venous thromboembolism risk stratification total knee arthroplasty dvt prophylaxis continuous passive motion

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