Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Nov 22;2(4):e027.
doi: 10.1097/OI9.0000000000000027. eCollection 2019 Dec.

Thromboprophylaxis an update of current practice: Can we reach a consensus?

William M Ricci  1 , Henry Broekhuyse  2 , John F Keating  3 , David C Teague  4 , Timothy O White  3
Affiliations

Thromboprophylaxis an update of current practice: Can we reach a consensus?

William M Ricci et al. OTA Int. .

Abstract

Diagnosis, prophylaxis, and management of venous thromboembolism (VTE) in patients with fractures remain a highly controversial topic with little consensus in clinical practice or the literature. The following manuscript represents a summary of evidence presented at the 2017 OTA Annual Meeting Symposium; "Thromboprophylaxis an Update of Current Practice: Can We Reach A Consensus?" The need for prophylaxis in pelvic and acetabular fracture patients; the existing body of evidence related to VTE, pulmonary embolism (PE), and prophylaxis for patients with fractures about the knee; current evidence in Edinburgh Scotland, regarding VTE prophylaxis in patients with isolated ankle fractures and the risk of VTE in patients with a hip fracture are topics that are addressed. The reader will benefit from the wisdom of this compilation of global contributions on thromboprophylaxis.

Keywords: deep venous thrombosis prophylaxis; fracture; pulmonary embolism; thromboprophylaxis; venous thromboembolism.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to disclose.

References

    1. Kahn SR, Morrison DR, Cohen JM, et al. Interventions for implementation of thromboprophylaxis in hospitalized medical and surgical patients at risk for venous thromboembolism. Cochrane Database Syst Rev. 2013;7:CD008201. - PubMed
    1. Black SR, Sathy AK, Jo C, et al. Improved survival after pelvic fracture: 13-year experience at a single trauma center using a multidisciplinary institutional protocol. J Orthop Trauma. 2016;30:22–28. - PubMed
    1. Moed BR, Miller JR, Tabaie SA. Sequential duplex ultrasound screening for proximal deep venous thrombosis in asymptomatic patients with acetabular and pelvic fractures treated operatively. J Trauma Acute Care Surg. 2012;72:443–447. - PubMed
    1. Borer DS, Starr AJ, Reinert CM, et al. The effect of screening for deep vein thrombosis on the prevalence of pulmonary embolism in patients with fractures of the pelvic or acetabulum: a review of 973 patients. J Orthop Trauma. 2005;19:92–95. - PubMed
    1. Tornetta P, Bogdan Y. Pulmonary embolism in orthopaedic patients: diagnosis and management. J Am Acad Orthop Surg. 2012;20:586–595. - PubMed

LinkOut - more resources