Deep Vein Thrombosis Prophylaxis in Orthopedic Surgery.

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Abstract

Conflict of interest statement: The authors have declared that no competing interests exist. 7. Clin Podiatr Med Surg. 2024 Jul;41(3):607-617. doi: 10.1016/j.cpm.2024.01.012. Epub 2024 Feb 23. Venous Thromboembolism in Foot and Ankle Trauma. Shibuya N(1), Zimmer C(2), Jupiter DC(3). Author information: (1)Department of Medicine, University of Texas Rio Grande Valley, School of Podiatric Medicine. Electronic address: naohiro.shibuya@utrgv.edu. (2)Department of Podiatric Medicine and Surgery, Baylor Scott and White Memorial Hospital, Texas A&M Health Science Center. (3)Department of Biostatistics and Data Science, Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch. 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. Copyright © 2024 Elsevier Inc. All rights reserved. DOI: 10.1016/j.cpm.2024.01.012