Venous Thromboembolism in Foot and Ankle Trauma

Clin Podiatr Med Surg. 2024 Jul;41(3):607-617. doi: 10.1016/j.cpm.2024.01.012. Epub 2024 Feb 23.

Abstract

Every surgeon may have experienced a tragic event associated with death or debilitation secondary to deep vein thrombosis (DVT) or pulmonary embolism (PE) after foot and ankle trauma and surgery. Nevertheless, the prevention of such a tragic event needs to be carefully evaluated rationally with currently available epidemiologic data. With great postoperative protocols and access to care, most PE events can be prevented. There are modifiable risk factors, such as length/type of immobilization and operative trauma/time that can lower the incidence of DVT/PE. In addition, chemical prophylaxis may be warranted in certain people within the foot and ankle trauma population.

Keywords: DVT; Deep vein thrombosis; PE; Pulmonary embolism; VTE.

Publication types

  • Review

MeSH terms

  • Ankle Injuries* / complications
  • Ankle Injuries* / surgery
  • Anticoagulants / therapeutic use
  • Foot Injuries* / complications
  • Humans
  • Incidence
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control
  • Pulmonary Embolism / etiology
  • Pulmonary Embolism / prevention & control
  • Pulmonary Embolism / therapy
  • Risk Factors
  • Venous Thromboembolism* / etiology
  • Venous Thromboembolism* / prevention & control

Substances

  • Anticoagulants