Venous Thromboembolism Disease Prophylaxis in Foot and Ankle Surgery

Orthop Clin North Am. 2018 Apr;49(2):265-276. doi: 10.1016/j.ocl.2017.11.013. Epub 2018 Feb 4.

Abstract

There are limited data to guide the use of venous thromboembolism disease (VTED) prophylaxis after foot and ankle surgery. Although there is general consensus that the overall risk is lower than after hip or knee replacement, subpopulations of patients may be at relatively heightened risk. Furthermore, existing data are often conflicting regarding the efficacy of prophylaxis, with little acknowledgment of the tradeoffs between VTED prophylaxis and potential complications associated with the use of such medications. This article provides an overview of currently available evidence to guide decision making regarding VTED prophylaxis in patients who undergo foot and ankle surgery.

Keywords: Chemical prophylaxis; Foot and ankle; Mechanical; VTED prophylaxis.

Publication types

  • Review

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Ankle Injuries / diagnostic imaging
  • Ankle Injuries / surgery*
  • Anticoagulants / administration & dosage*
  • Female
  • Foot Injuries / diagnostic imaging
  • Foot Injuries / surgery*
  • Humans
  • Incidence
  • Injury Severity Score
  • Male
  • Middle Aged
  • Orthopedic Procedures / adverse effects*
  • Orthopedic Procedures / methods
  • Postoperative Complications / epidemiology
  • Postoperative Complications / prevention & control
  • Practice Guidelines as Topic
  • Primary Prevention / methods
  • Prognosis
  • Risk Assessment
  • Sex Factors
  • Societies, Medical
  • Treatment Outcome
  • Venous Thromboembolism / etiology
  • Venous Thromboembolism / physiopathology
  • Venous Thromboembolism / prevention & control*

Substances

  • Anticoagulants