Effectiveness of Mechanical Devices in Orthopedic Surgery

  • David J. Warwick


Orthopedic surgeons are intuitively drawn to mechanical thromboprophylactic methods because of the perceived lack of bleeding complications, fear of which inhibits universal acceptance of effective chemical methods. Some mechanical methods such as graduated stockings, foot pumps, and calf compressors have a good evidence base with studies showing a consistent reduction in thrombosis. Drawbacks include cost, convenience, and compliance. The ideal role is in conjunction with, rather than in competition with, chemical methods.


Thromboembolism Foot pumps Graduated stockings Intermittent pneumatic compression Orthopedics 




American College of Chest Physicians


Deep vein thrombosis


Graduated compression stockings


International Consensus Statement


Intermittent pneumatic compression


Low molecular weight heparin


National Institute of Health and Clinical Excellence


Pulmonary embolism


Total hip replacement


Total knee replacement




Venous thromboembolism


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© Springer-Verlag London 2013

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryUniversity of SouthamptonSouthamptonUK

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