alexa Low Molecular Weight Heparin and Aspirin Prophylaxis after Total Knee Arthroplasty

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Low Molecular Weight Heparin and Aspirin Prophylaxis after Total Knee Arthroplasty

Thromboembolic disease is a well-recognized complication after hip and knee arthroplasty. There is near universal agreement regarding the need for perioperative thromboprophylaxis. The exact incidence of deep venous thrombosis and pulmonary emboli is controversial. Incidence rates of more than 50% are reported without prophylaxis. With modern joint protocols using early mobilization, mechanical compression devices, and improved anesthetic techniques, the incidence has dramatically decreased. A recent review of 1179 cases by Dorr et al using a multimodal approach for thrombosis prevention reported a 0.25% rate of pulmonary emboli and 5.2% rate of deep venous thrombosis (only 0.4% that were clinically symptomatic). Even protocols using no chemical prophylaxis have shown a thrombosis rate of less than 5%..read more

 

 
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