Open AccessThai Consensus on Venous Thromboembolism in Hip and Knee Surgery
Author(s) -
Saradej Khuangsirikul,
Viroj Larbpaiboonpong,
Charlee Sumettavanich,
Surapoj Meknavin,
Aree Tanavalee,
Thanainit Chotanaphuti
Publication year - 2017
Publication title -
journal of southeast asian medical research
Language(s) - English
Resource type - Journals
ISSN - 2697-5424
DOI - 10.55374/jseamed.v1i1.38
Subject(s) - medicine , orthopedic surgery , venous thromboembolism , chemoprophylaxis , hip fracture , surgery , gold standard (test) , arthroplasty , hip arthroplasty , venography , venous thrombosis , radiology , thrombosis , osteoporosis
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.