Italian intersociety consensus statement on antithrombotic prophylaxis in hip and knee replacement and in femoral neck fracture surgery

F. Randelli, F. Biggi, G. Della Rocca, P. Grossi, D. Imberti, R. Landolfi, G. Palareti, D. Prisco

Research output: Contribution to journalArticlepeer-review

Abstract

Anticoagulant prophylaxis for preventing venous thromboembolism (VTE) is a worldwide established procedure in hip and knee replacement surgery, as well as in the treatment of femoral neck fractures (FNF). Different guidelines are available in the literature, with quite different recommendations. None of them is a multidisciplinary effort as the one presented. The Italian Society for Studies on Haemostasis and Thrombosis (SISET), the Italian Society of Orthopaedics and Traumatology (SIOT), the association of Orthopaedists and Traumatologists of Italian Hospitals (OTODI), together with the Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI) have set down easy and quick suggestions for VTE prophylaxis in hip and knee surgery as well as in FNF treatment. This inter-society consensus statement aims at simplifying the grading system reported in the literature, and its goal is to benefit its clinical application. Special focus is given to fragile patients, those with high bleeding risk, and those receiving chronic antiplatelet (APT) and vitamin K antagonists treatment. A special chapter is dedicated to regional anaesthesia and VTE prophylaxis.

Original languageEnglish
Pages (from-to)69-76
Number of pages8
JournalJournal of Orthopaedics and Traumatology
Volume12
Issue number1
DOIs
Publication statusPublished - Mar 2011

Keywords

  • Anticoagulant prophylaxis
  • Dabigatran
  • Enoxaparin
  • Femoral neck fractures
  • Prevention of venous thromboembolism
  • Rivaroxaban
  • Total hip replacement
  • Total knee replacement

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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