Prevention of venous thromboembolism in hip surgery

  • D. Janssen


Until heparins were introduced to clinical practice at the start of the 1970s, thromboembolic events were common complications which jeopardized the outcome of surgery. Without prophylaxis, risk of deep vein thrombosis (DVT) was 40–60% in hospitalized patients undergoing major orthopaedic surgery (Geerts et al. 2004). Therefore patients with hip surgery should be assigned to the
  • ‘high-risk group’ for thromboses as classified in the German Guidelines (Encke et al. 2003) or

  • ‘highest risk group’ as defined by the “Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy” (Geerts et al. 2004). The rates of venous thromboembolism (VTE) found in patients receiving either placebo or no prophylaxis are listed in Table 18.1.


Venous Thromboembolism Unfractionated Heparin Major Orthopaedic Surgery Chronic Venous Insufficiency Multidose Vial 


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Copyright information

© Steinkopff Verlag 2008

Authors and Affiliations

  • D. Janssen
    • 1
  1. 1.Med-i-Scene Concept GmbHWeisendorf

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