Venous Thromboembolic Disease in Orthopaedic Surgery


A practicing orthopaedic surgeon should acknowledge the risk of venous thromboembolic disease (VTED) following orthopaedic surgical procedures on the lower extremity. Specifically, patients undergoing total hip arthroplasty or total knee arthroplasty and patients with complex trauma appear to be at particular risk. The recommendation of the Seventh American College of Chest Physicians (ACCP) Conference on Antithrombotic and Thrombolytic Therapy are discussed for patients undergoing total hip replacement, total knee replacement, hip fracture surgery, knee arthropscopy, elective spine surgery, and surgical treatment of lower extremity fractures distal to the femur.

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