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Venous Thromboembolism Prophylaxis in Orthopedic Surgery
Authors: Melvyn A. Harrington, MD
What To Discuss With Your Patients
In order to facilitate shared decisionmaking with your patients who will undergo total hip replacement, total knee replacement, or hip fracture surgery, consider discussing the following topics with them:
- General background information on the risk of thromboembolic disease
- That thromboembolic disease is a major risk after joint-replacement surgery and why some form of prophylactic treatment is indicated
- Options for prophylaxis
- Bleeding as the major risk of pharmacological prophylaxis
- Sobieraj DM, Coleman CI, Tongbram V, et al. Venous Thromboembolism in Orthopedic Surgery. Comparative Effectiveness Review No. 49 (Prepared by the University of Connecticut/Hartford Hospital Evidence-based Practice Center under Contract No. 290-2007-10067-I). Rockville, MD: Agency for Healthcare Research and Quality; March 2012. AHRQ Publication No. 12-EHC020-EF. Available at www.effectivehealthcare.ahrq.gov/thrombo.cfm.
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