Orthopedics > OCOSH Classification > Complications > Venous Thromboembolism

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Internet resources relating to Venous Thrombolembolism (VTE) after orthopaedic procedures or trauma
[OCOSH Code: D054556 429098002 I80 NMC_VTE]

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Antithrombotic Therapy popular

Location: http://www.sign.ac.uk/guidelines/fulltext/36/index.html

Antithrombotic Therapy. SIGN Guideline. SIGN Publication No. 36 ISBN 1899893 76 8 Published March 1999
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View Details Visit Resource Review It Rate It Bookmark It Added: Wed Apr 17 2002

1997 Heparin low molecular weight heparin and physical methods for preventing deep vein thrombosis and pulmonary embolism following surgery for hip fractures Cochrane Review

Location: http://www.cochrane.org/reviews/en/ab000305.html

Prophylaxis using heparin and low molecular weight heparin
Heparins and some mechanical pumping devices may help prevent blood clots forming in the legs after surgery for hip fracture
Patients with hip fracture may develop blood clots (thrombosis) in their legs. Some of these blood clots may travel to the lungs and cause...
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View Details Visit Resource Review It Rate It Bookmark It Added: Mon Feb 04 2002

Anticoagulants May Increase Mortality After Hip and Knee Surgery Medscape

Location: http://www.medscape.com/viewarticle/572419

NEW YORK (Reuters Health) Apr 02 - A review of studies looking at anticoagulant prophylaxis after hip and knee arthroplasty reveals that not only do these agents fail to completely prevent pulmonary embolism (PE), their use may actually increase all-cause mortality. The results, which appear in the March issue of Clinical...
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View Details Visit Resource Review It Rate It Bookmark It Added: Tue Apr 08 2008

Dabigatran A New Oral Agent for Prevention of Venous Thromboembolism COA

Location: http://www.coa-aco.org/coa-bulletin/issue-83/dabigatran-a-new-oral-agent-for-prevention-of-venous-th ...

Recently, the first oral direct thrombin inhibitor became available for the prevention of VTE in patients undergoing elective total hip or knee replacement surgery. Dabigatran etexilate (PradaxTM) is a prodrug of dabigatran, a highly specific inhibitor of both clot-bound and free thrombin that can be used in both the hospital...
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View Details Visit Resource Review It Rate It Bookmark It Added: Wed Jul 01 2009

Deep Vein Thrombosis

Location: http://www.wheelessonline.com/ortho/deep_venous_thrombosis

Clinical Signs for DVT:
- exam may be unreliable but positive findings should not be ignored;
- calf tenderness, swelling, fever, & increased pulse rate may be present
- suggestive exam features for pulmonary embolism:
...
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View Details Visit Resource Review It Rate It Bookmark It Added: Mon Feb 04 2002

Deep Venous Thrombosis Prophylaxis in Orthopedic Surgery eMedicine Orthopedics

Location: http://www.emedicine.com/orthoped/topic600.htm

Thrombosis is a naturally occurring physiologic process. Under normal circumstances, a physiologic balance is present between factors that promote and retard coagulation. A disturbance in this equilibrium may result in the coagulation process occurring at an inopportune time or location or in an excessive manor. Alternatively, failure of the normal...
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View Details Visit Resource Review It Rate It Bookmark It Added: Thu Apr 10 2008

DVT and PE prophylaxis in THR Wheeless

Location: http://www.wheelessonline.com/ortho/dvt_pe_prophylaxis_in_thr

40-60% of THR patients who do not receive prophylaxis will get a DVT (dependment on imaging method);
in contrast, the study by Fender et al (JBJS 1997) showed that the incidence of fatal PE (as diagnosed by postmortem examination) was 4 / 2111 patients (0.19%);
Wheeless' Textbook of Orthopaedics
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View Details Visit Resource Review It Rate It Bookmark It Added: Mon Feb 04 2002

DVT Prophylaxis in Hip & Knee Replacement Surgery Controversies in 2008 COA

Location: http://www.coa-aco.org/coa-bulletin/issue-83/dvt-prophylaxis-in-hip-a-knee-replacement-surgery-j-wad ...

Routine thromboprophylaxis following elective hip and knee replacement surgery remains a controversial topic. No one disputes that patients undergoing these surgical procedures are at risk for deep vein thrombosis. The combination of stasis, endothelial wall injury and hypercoagulability are almost routine following this type of hip and knee surgery. It...
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View Details Visit Resource Review It Rate It Bookmark It Added: Wed Jul 01 2009

Effectiveness of Intermittent Pneumatic Leg Compression for Preventing Deep Vein Thrombosis After Total Hip Replacement

Location: http://jama.ama-assn.org/cgi/reprint/263/17/2313

A randomized trial was performed in consecutive patients undergoing total hip replacement to evaluate the effectiveness of sequential intermittent calf and thigh compression for preventing venous thrombosis compared with a control group given no prophylaxis. Both groups underwent case finding for deep vein thrombosis using combined fibrinogen I 125 leg scanning, impedance plethysmography, and venography....
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View Details Visit Resource Review It Rate It Bookmark It Added: Tue Nov 02 2010

Incidence and Risk Factors for Venous Thromboembolic Disease in Podiatric Surgery Medscape

Location: http://www.medscape.com/viewarticle/704878

No guidelines or population-based research exist to guide management for podiatric surgery patients. The objective of our study was to determine the incidence and risk factors for postprocedure VTE in podiatric surgery.
Conclusions: We identified a low overall risk of VTE in podiatric surgery, suggesting that routine prophylaxis is not warranted....
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View Details Visit Resource Review It Rate It Bookmark It Added: Wed Jul 22 2009

Prevention of Venous Thromboembolism in Major Orthopaedic Surgery The 8th ACCP Guidelines COA

Location: http://www.coa-aco.org/coa-bulletin/issue-83/prevention-of-venous-thromboembolism-in-major-orthopaed ...

Rationale for Routine Thromboprophylaxis in Major Orthopaedic Surgery
Because venous thromboembolism (VTE) is one of the most common complications following major orthopaedic surgery and is associated with both short- and long-term morbidity and occasional fatal outcome, routine prophylaxis has been the key to reducing the burden of this disease for more...
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View Details Visit Resource Review It Rate It Bookmark It Added: Wed Jul 01 2009

The Use of Direct Factor Xa Inhibitors in the Prevention of Thromboembolism after Joint Replacement COA

Location: http://www.coa-aco.org/coa-bulletin/issue-83/the-use-of-direct-factor-xa-inhibitors-in-the-preventio ...

Rivaroxaban is the first oral direct Factor Xa inhibitor approved in Canada for the prevention of venous thromboembolism (VTE) following elective total hip replacement (THR) and total knee replacement (TKR) surgery. The purpose of this article is to review the available information on rivaroxaban.
Bassam A. Masri, M.D., FRCSC COA...
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View Details Visit Resource Review It Rate It Bookmark It Added: Wed Jul 01 2009

Tromboembolism eMedicine Orthopedics

Location: http://www.emedicine.com/orthoped/topic334.htm

Thromboembolism encompasses two interrelated conditions that are part of the same spectrum, deep venous thrombosis (DVT) and pulmonary embolism (PE). PE is the obstruction of blood flow to one or more arteries of the lung by a thrombus lodged in a pulmonary vessel (see Image 1). PE and DVT can...
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View Details Visit Resource Review It Rate It Bookmark It Added: Thu Apr 10 2008