Mechanical Prophylaxis Against Deep-Vein Thrombosis After Pelvic and Acetabular Fractures

Incidence of venous thromboembolism in pelvic and acetabular fractures in the Japanese population

“…Anticoagulant drugs have been frequently used in patients with pelvic and acetabular fractures in Western countries [2,4,7,8,24,25] but were not used in our patients. Our detection rate was higher than that in a report from the United States with mechanical prophylaxis [23]. However, as the detection method for VTE was different, the effects of ethnicity remain unclear, but we can conclude that the incidence of VTE in the Japanese population with pelvic and acetabular fractures does not differ greatly from that in the Western population.…”

“…Incidences of VTE varied among studies, which can probably be explained by differences in patient characteristics, fracture treatment types, prophylactic measures [23][24][25], and VTE detection methods [26,27]. Compared with these reports, the incidence of VTE in our study was similar or relatively higher.…”

Functional Outcome after Operative Treatment of Displaced Fractures of the Acetabulum: A 12-month to 5-year Follow-up Investigation

“…In our institution, we routinely use mechanical prophylaxis on the basis of the compression method. Although Stannard et al [49] have shown a trend to fewer deep-vein thromboses when pulsatile compression was compared with standard compression methods, Roderick et al [51] observed similar benefits irrespective of the particular mechanical method used (graduated compression stockings, intermittent pneumatic compression or footpumps). Other Compared with general anesthesia, regional anesthesia reduced the risk of DVT by about half.…”

“…It is well established that patients with acetabular fractures are at high risk of venous thromboembolic disease [49,50]. Mechanical and pharmacological prophylaxis and vena cava filter have been advocated for these patients.…”

Thromboprophylaxis following major skeletal trauma: a systematic review

“…Similarly, four studies did not acknowledge the proportion of their cohorts who presented with pelvic fractures [5,26,28,30]. As Stannard et al [26] acknowledged, this patient group is associated with a high risk of VTE events [34][35][36][37][38], potentially due to the likelihood of clots involving the pelvic veins which have been reported in up to 58% of cases [34,35,38,39]. Furthermore, since pelvic and more proximal DVT are more difficult to detect on ultrasonography, there is a relative high rate of reported PE, despite negative findings on ultrasound [20,26,40].…”