LO SCALPELLO-OTODI Educational

, Volume 30, Issue 3, pp 191–193 | Cite as

Chirurgia del piede mininvasiva e tromboprofilassi

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Minimally invasive foot surgery and thromboembolic prophylaxis

Abstract

Thromboembolic prophylaxis in patients undergoing minimally invasive surgery of the foot is still debated and the behaviour of orthopaedic surgeons is somewhat controversial, due to the current lack of scientific evidence and/or recommendations among different Foot Surgery Societies.

The aim of the study was to depict the relevant literature concerning the epidemiology of thromboembolic events (TVE) in this surgical field: the incidence of deep venous thrombosis (DVT) varied between 0.2–4%, and that of non-fatal pulmonary embolism was 0.15%. DVT involves the deep distal vessels in almost all cases. Some risk factors for the onset of DVT have been identified: postoperative immobilisation, hindfoot surgery, the time of ischaemia, and older age. The protocol adopted at our hospital is presented here, suggesting that prophylaxis is not advisable in all patients undergoing minimally invasive foot surgery, but only in patients older than 40 years of age and/or in case of concomitant specific risk factors for TVE.

Notes

Conflitto di interesse

Gli autori E. Filippucci, F. Falcinelli e D. Antonini dichiarano di non avere alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and Animal Rights

L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.

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Copyright information

© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2016

Authors and Affiliations

  1. 1.Servizio Aziendale di AngiologiaOspedale di FolignoFolignoItalia

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