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

Journal of Orthopaedics and Traumatology

G. Della Rocca⁵  D. Imberti⁶  F. Biggi²  P. Grossi⁷  D. Prisco¹  G. Palareti³  F. Randelli⁷  R. Landolfi⁴ 

[1] University of Florence$$Careggi University Hospital$$;Belluno Hospital$$;AOU Sant’Orsola-Malpighi, University of Bologna$$;University Hospital A. Gemelli$$;University of Udine$$;University Hospital of Ferrara$$;IRCCS Policlinico San Donato$$

关键词: Femoral neck fractures;   

DOI  :  10.1007/s10195-010-0125-8

学科分类：骨科学

来源: Springer

【 摘 要 】

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.

【 授权许可】

Unknown