A Prospective Cohort Study of Symptomatic Venous Thromboembolic Events in Foot and Ankle Trauma: The Need for Stratification in Thromboprophylaxis?

Foot & Ankle Orthopaedics

Jose A.Blanco¹ 

关键词: Venous Thromboembolism;    Deep Vein Thrombosis;    Pulmonary Embolism;    Ankle Fracture;    Achilles;   

DOI  :  10.1177/2473011416S00117

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:TraumaIntroduction/Purpose:The incidence of Venous Thromboembolism (VTE) and the balance of risks and benefits associated with chemical thromboprophylaxis in foot and ankle trauma are controversial, and much less investigated than in hip and knee surgery. A recent systematic review showed a low VTE rate in foot and ankle surgery (0-0.55%), but with an increased incidence in foot and ankle trauma, the highest in TA rupture and surgery. This study compares the 90-day VTE rates of 3 cohorts of patients: Group 1: TA ruptures managed in a full weight bearing (FWB), functional, Vacoped™ protocol over an 8 week period; Group 2: Stable ankle fractures managed in NWB below knee casts for 6 weeks; Group 3: Unstable or displaced ankle fractures managed with surgery and NWB below knee casts for 6 weeks.Methods:The data was extracted from two prospectively collected databases, one for the acute TA ruptures between March 2010 and December 2014, and one for ankle fractures from October 2013 to April 2014. These...

【 授权许可】

CC BY