Venous thromboembolism after total knee and hip arthroplasty

Almegren, Mosaad; Alhedaithy, Alhanouf A.; Alomri, Amal S.; Albawardy, Nouf F.; Mesmar, Rawan S.; Qahtani, Mohammad Al

doi:10.15537/smj.2018.11.23545

Cited by 16 publications

(11 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… 19 , 20 A recent study that was done in Saudi Arabia stated that the incidence of symptomatic VTE is 1.9%. 21 As the context of this study is also Saudi Arabia, the author used the estimated proportion in the previous Saudi study to calculate the sample size. The formula used to calculate the sample size was based on an estimation of the proportion of patients who were expected to experience symptomatic VTE outcome as follows:…”

Section: Methodsmentioning

confidence: 99%

Venous thromboembolism prevention protocol for adapting prophylaxis recommendations to the potential risk post total knee replacement: a randomized controlled trial

Alameri

Sulaiman

Ashour

et al. 2020

Pharm Pract (Granada)

View full text Add to dashboard Cite

Background: Total knee replacement (TKR) is a major orthopedic surgery that is considered high risk for the development of venous thromboembolism (VTE). Objective: The aim of this study is to evaluate the clinical outcomes that resulted from the use of a new proposed VTE risk stratification protocol for selecting a suitable extended VTE prophylaxis for post TKR surgery patients administered in conjunction with patient education programs. Method: A randomized controlled trial was conducted in two medical centers in Saudi Arabia. A total of 242 patients were enrolled in the study, 121 patients in each group. The experimental group (A) was assessed by using the proposed VTE risk stratification protocol and also took part in patient education programs about TKR and its complications. The control group (B) was assessed by using the 2005 Caprini risk assessment tool and no education programs were given to this group. Both groups were followed for 35 days post operation. Results: The mean age of the participants was 65.86 (SD 8.67) and the majority of them were female 137 (56.6%). The mean body mass index of the study sample was 32.46 (SD 5.51). There were no significant differences between the two groups except for surgery type; the proportion of bilateral TKR in group A was higher than in group B (69/121 (28.5%) vs. 40/121(16.5%), p˂0.05). There were no confirmed pulmonary embolism cases in the study sample and diagnosis of deep-vein thrombosis was confirmed in 12/242 (5.0%) of patients: 1/121 (0.8%) in group A and 11/121 (9.1%) in group B (p˂0.05). The readmission rate for all patients was 2.5% (6/242), all of whom were in group B (p˂0.05). Conclusion: The proposed VTE risk stratification protocol that was applied in conjunction with patient education programs reduced VTE complications and readmission events, post TKR surgery. Trial Registration: ClinicalTrials.gov Identifier: NCT04031859.

show abstract

Section: Methodsmentioning

confidence: 99%

Venous thromboembolism prevention protocol for adapting prophylaxis recommendations to the potential risk post total knee replacement: a randomized controlled trial

Alameri

Sulaiman

Ashour

et al. 2020

Pharm Pract (Granada)

View full text Add to dashboard Cite

show abstract

“…The rate of symptomatic VTE after total hip and knee arthroplasty is approximately 1.9%, with a significant increase of greater than 40% in times where no chemical thromboprophylaxis was used [71,72]. The National Institute for Health and Care Excellence (NICE) guidelines certifies the use of aspirin, low molecular weight heparin (LMWH), dabigatran, apixaban and rivaroxaban for reducing the incidence of VTE after total knee arthroplasty [73].…”

Section: Vte Prophylaxismentioning

confidence: 99%

Fast Track Arthroplasty Using Local Infiltration Analgesia

Cordingley¹,

Chepurin²,

Younis³

et al. 2022

Topics in Regional Anesthesia

View full text Add to dashboard Cite

Fast track arthroplasty is a holistic approach to patients who undergo total hip and knee arthroplasty, a journey or care that begins with setting patient’s expectation, optimising medical status, using intraoperative local anaesthetic infiltra-tion, decreasing narcotics usage either in spinal or post-operative medication, discouraging usage of patient controlled analgesia or urinary catheters, encouraging day of operation mobilisation and optimising post-operative physiotherapy protocols. The use of local infiltration analgesia (LIA) is a good alternative compared to other traditional pain management techniques. The purpose of adoption of LIA technique is to provide comfort from the trauma associated with hip and knee arthroplasty particularly for the first 36 h post-operatively, during the time of high post-operative pain, to facilitate increased post-operative mobilisation and function. LIA is safe and effective to achieve good outcomes, early mobilisation and decreasing length of stay without jeopardising clinical outcomes. This chapter discusses LIA and its multimodal approach to analgesia, regional anaesthesia and early mobilisation that improves overall patient experience and satisfaction. The chapter discusses LIA techniques, wound catheter placement, and postoperative protocol to achieve fast track hip and knee arthroplasty.

show abstract

“…It was 1.7% in patients undergoing total knee replacement and 1.3% in patients undergoing total hip replacement. 27 However, clinically significant VTE is less common. 25 These rates could be reduced to 1-10% with routine use of pharmacological thromboprophylaxis.…”

Section: Postoperative Venous Thromboembolism (Vte)mentioning

confidence: 99%

“…25 These rates could be reduced to 1-10% with routine use of pharmacological thromboprophylaxis. 27 Virchow's triad is effective in the development of VTE in patients with orthopaedic operations due to venous blood stasis because of use of tourniquet, immobilization, increased hypercoagulability because of use of polymethylmethacrylate (PMMA) bone cement. 26 VTE prophylaxis methods are divided into mechanical and pharmacological.…”

Section: Postoperative Venous Thromboembolism (Vte)mentioning

confidence: 99%

Common Post Lower Limb Arthroplasty Complications, Management Approaches and How to Minimize the Risks

Bayam

Drampalos

Erdem

2020

Online Türk Sağlık Bilimleri Dergisi

View full text Add to dashboard Cite

Hem diz ve hem de kalça artroplastileri, ortopedinin oldukta başarılı ameliyatlarıdır. Mükemmel ve uzun yaşam sonuçları vardır. Artan ameliyat sayılarına ve başarı oranlarına rağmen, genel ve ciddi komplikasyonları da artış göstermektedir. Literatürden yaptığımız derlemede, kalça ve diz artroplastilerinin yaygın komplikasyonları olan enfeksiyon, dislokasyon, periprostatik kırıklar, septik gevşeme ve ven tromboembolisini taradık. Bu komplikasyonlar çok dramatik problemlere neden olabilmekte ve dikkatli tedavi gerekmektedir. Bu komplikasyonları minimuma indirgemek icin gerekenler, kendini geliştirmiş tecrübeli ortopedik cerrahlar ve konusunda özelleşmiş, uygun çevresel ortama sahip bir takım ve uygunluğu ispatlanmış protezlerin kullanılmasıdır.

show abstract

Venous thromboembolism after total knee and hip arthroplasty

Cited by 16 publications

References 22 publications

Venous thromboembolism prevention protocol for adapting prophylaxis recommendations to the potential risk post total knee replacement: a randomized controlled trial

Venous thromboembolism prevention protocol for adapting prophylaxis recommendations to the potential risk post total knee replacement: a randomized controlled trial

Fast Track Arthroplasty Using Local Infiltration Analgesia

Common Post Lower Limb Arthroplasty Complications, Management Approaches and How to Minimize the Risks

Contact Info

Product

Resources

About