How is the treatment protocol for deep venous thrombosis (DVT) prophylaxis determined prior to orthopedic surgery?

Updated: Jul 25, 2019
  • Author: David A Forsh, MD; Chief Editor: Vinod K Panchbhavi, MD, FACS  more...
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Answer

Answer

Major surgical and high-risk orthopedic procedures place patients at risk for DVT and VTE, including PE. Complications of DVT include postphlebitic syndrome or death from PE. Therefore, prophylaxis with anticoagulant medications, as well as the adjunctive use of mechanical devices, is essential. The most effective treatment protocol for a patient must be determined on a case-by-case basis and account for the risk-benefit ratio in each situation. A risk stratification protocol, such as that developed by the ACCP, is recommended to determine the appropriate level and method of treatment.


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