Thai Consensus on Venous Thromboembolism in Hip and Knee Surgery

  • Saradej Khuangsirikul Department of Orthopaedics, Phramongkutklao College of Medicine
  • Viroj Larbpaiboonpong Orthopedic Department, Police General Hospital
  • Charlee Sumettavanich Department of Orthopaedics, Lerdsin General Hospital
  • Surapoj Meknavin Department of Orthopaedics, Faculty of Medicine Vajira Hospital, Navamindradhiraj University
  • Aree Tanavalee Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University
  • Thanainit Chotanaphuti Department of Orthopaedics, Phramongkutklao College of Medicine
Keywords: Venous thromboembolism, Deep vein thrombosis, Hip and knee arthroplasty, Thromboprophylaxis, Chemoprophtlaxis

Abstract

Increasing numbers of hip and knee arthroplasty may associate with higher risk of complications such as venous thromboembolism. Most of Thai orthopedic surgeons ignore thromboprophylaxis because of less symptomatic VTE in Asian population. The Thai consensus on venous thromboembolism in hip and knee surgery consist of twenty-four common questions about VTE including their supported literatures. The gold standard of diagnosis is contrast venography although the duplex ultrasound has more role in postoperative patients. Thai patients undergoing hip and knee surgery seem to have lower prevalence of VTE than Caucasian. However, mechanical or chemoprophylaxis should be considered especially in the high risk group and hip fracture in elderly.

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Published
2017-06-27
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1.
Khuangsirikul S, Larbpaiboonpong V, Sumettavanich C, Meknavin S, Tanavalee A, Chotanaphuti T. Thai Consensus on Venous Thromboembolism in Hip and Knee Surgery. J Southeast Asian Med Res [Internet]. 2017Jun.27 [cited 2021Dec.9];1(1):29-3. Available from: https://www.jseamed.org/index.php/jseamed/article/view/38
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