Open AccessMobile Compression Reduces Bleeding-related Readmissions and Wound Complications After THA and TKA
Author(s) -
Diren Arsoy,
Nicholas J. Giori,
Steven T. Woolson
Publication year - 2018
Publication title -
clinical orthopaedics and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.178
H-Index - 204
eISSN - 1528-1132
pISSN - 0009-921X
DOI - 10.1007/s11999.0000000000000041
Subject(s) - medicine , chemoprophylaxis , incidence (geometry) , surgery , aspirin , cohort , venous thromboembolism , low molecular weight heparin , compression stockings , anticoagulant , heparin , thrombosis , physics , optics
The use of chemoprophylaxis to prevent thromboembolic disease after primary THA and TKA can be associated with postoperative bleeding complications. Mechanical prophylaxis has been studied as an alternative to chemoprophylaxis with greater safety in patients undergoing THA, but no data have been published comparing the safety of chemoprophylaxis versus mechanical methods for patients undergoing TKA. The risk of readmission resulting from bleeding and venous thromboembolism (VTE) has also not been determined for patients undergoing THA or TKA when treated with low-molecular-weight heparin (LMWH) alone compared with mechanical prophylaxis plus aspirin (ASA).