The first ever international consensus statement with recommendations for the prevention of venous thromboembolism (VTE) after orthopedic surgeries has been published in the Journal of Bone and Joint Surgery. Developed by 600 experts from around the globe, the statement seeks to standardize treatment guidelines and decrease the occurrence of this common post-surgical complication. Key highlights among the recommendations include:
- Mechanical compressive devices can be used routinely in patients undergoing total hip arthroplasty or total knee arthroplasty as VTE prophylaxis.
- For the majority of surgical procedures, it appears that aspirin and intermittent pneumatic compression devices may be adequate.
- Development of VTE is influenced by genetic and other patient-specific predispositions.
- Recognizing these factors may help tailor the VTE prophylaxis accordingly.
- Currently, the industry lacks a validated and appropriate risk stratification system for VTE or bleeding; the medical community desperately needs those measures and stratification systems.
Source: Swiontkowski M, Parvizi J. International Consensus Meeting on Venous Thromboembolism. J Bone Joint Surg Am. 2022 Mar 16;104(Suppl 1):1-3.Intern Med. 2022;182(4):365–374.