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Reducing Risk in Total Joint Arthroplasty

Vascular Status

Romero, Jose MD*; Westrich, Geoffrey MD

doi: 10.1097/BTO.0000000000000385

Complications following total joint arthroplasty place a significant burden on patients and the health care system. Patients with vascular disease are at increased risk of perioperative complications and appropriate patient screening and optimization are required to reduce perioperative risks. This article will provide a brief update on the literature and consensus recommendations regarding (1) patients with increased bleeding risk and increased venous thromboembolic event risk, (2) patients with a history of peripheral vascular disease, and (3) patients with lymphedema.

*Adult Reconstruction and Joint Replacement Service

Clinical Orthopedic Surgery, Adult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, NY

This project was supported by an unrestricted grant from KCI, an Acelity company. Project management support was provided by MedicusWorks.

G.W.: is a consultant for and receives royalty income from Exactech Inc. and Stryker Orthopedics. J.R. declares that there is nothing to disclose.

For reprint requests, or additional information and guidance on the techniques described in the article, please contact Geoffrey Westrich, MD, at or by mail at Hospital for Special Surgery, New York, NY. You may inquire whether the author(s) will agree to phone conferences and/or visits regarding these techniques.

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