Journal List > Hip Pelvis > v.26(1) > 1082015

Park, Lim, and Lee: Prevention of Venous Thromboembolism in Hip Surgery Patients

Abstract

The risk for venous thromboembolism (VTE) in total hip arthroplasty and hip fracture surgery is much higher than that of any other surgery. There is a general agreement that prevention of VTE in hip surgery patients is necessary due to concerns regarding symptomatic deep vein thrombosis or fatal pulmonary embolism. Optimal strategies for prevention of VTE include pharmacologic and mechanical approaches; however, the ideal prophylactic regimen has not been identified. Selection of a prophylactic regimen should be balanced between efficacy and safety. This article discusses the different prophylactic options available today for prevention of VTE in hip surgery patients.

Figures and Tables

Table 1
Summary of ACCP Evidence-Based Clinical Practice Guidelines (9th ed)
hp-26-1-i001

ACCP: American College of Chest Physicians, THA: total hip arthroplasty, LMWH: low-molecular-weight heparin, VKA: vitamin K antagonist, IPCD: intermittent pneumatic compression device, HFS: hip fracture surgery, LDUH: low-dose unfractionated heparin.

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