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Venous Thromboembolism in Orthopaedic Trauma

Scolaro, John A. MD; Taylor, Ryan Metri MD; Wigner, Nathan A. MD, PhD

Journal of the American Academy of Orthopaedic Surgeons: January 2015 - Volume 23 - Issue 1 - p 1–6
doi: 10.5435/JAAOS-23-01-1
Orthopaedic Advances

Patients who sustain orthopaedic trauma are at risk for developing deep venous thrombosis and symptomatic pulmonary emboli. The prevention of venous thromboembolism has moved to the forefront of patient safety initiatives, resulting in the formation of various guidelines to assist the practitioner. Recommendations for venous thromboembolism prophylaxis in the orthopaedic trauma patient exist, but there is insufficient evidence in the literature to make strong recommendations regarding type and duration of prophylaxis. The associated morbidity of chemical anticoagulants used in the orthopaedic trauma patient must also be taken into consideration, specifically the increased risk of bleeding. Mechanical prophylaxis is used in place of, or in addition to, these medications in certain situations. New, potentially superior anticoagulants have been developed but are still understudied. Larger studies are needed to further define the type and duration of deep venous thrombosis prophylaxis in the orthopaedic trauma patient.

From the University of California, Irvine, Orange, CA (Dr. Scolaro) and the University of Pennsylvania, Philadelphia, PA (Dr. Taylor and Dr. Wigner).

None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Scolaro, Dr. Taylor, and Dr. Wigner.

© 2015 by American Academy of Orthopaedic Surgeons
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