Prevention of Deep Venous Thromboembolism in Foot and Ankle Surgery.

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Abstract

[Indexed for MEDLINE] 17. J Plast Surg Hand Surg. 2021 Jun;55(3):190-194. doi: 10.1080/2000656X.2020.1856671. Epub 2020 Dec 14. Venous thromboembolic events in hand surgery. Haque A(1), Patel MS(1), Siddiqui B(1), Wildin CJ(1), Dias JJ(1). Author information: (1)Trauma and Orthopaedic Department, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester, UK. The risks of venous thromboembolism (VTE) following total hip and knee arthroplasty have been widely published. Our aim was to investigate the recorded incidence of VTE events at the time of elective and trauma hand surgery. The UK National Hospital Episode Statistics (HES) data linking VTE events with hand surgery for the financial years 2010-2012 were analysed. The local VTE rates following hand surgical procedures were also analysed. Finally, a cost assessment of VTE thromboprophylaxis was performed according to the British Society for Surgery of the Hand (BSSH) guidelines. 334,211 hand surgical procedures were performed throughout England of which there were 13 DVT and 27 PE events. These events were seen in patients with pre-existing comorbidities. The annual incidence of VTE is 0.006% at most in hand surgical patients in England. The cost of implementing mechanical VTE thromboprophylaxis to all patients having hand surgery would amount to £6,336,641 over 2 years. The cost of treatment for all VTE events would amount to £20,418. VTE prophylaxis is probably not necessary in patients undergoing isolated elective or trauma hand surgical procedures. DOI: 10.1080/2000656X.2020.1856671