Thromboprophylaxis an update of current practice: Can we reach a consensus?

OTA Int. 2019 Nov 22;2(4):e027. doi: 10.1097/OI9.0000000000000027. eCollection 2019 Dec.

Abstract

Diagnosis, prophylaxis, and management of venous thromboembolism (VTE) in patients with fractures remain a highly controversial topic with little consensus in clinical practice or the literature. The following manuscript represents a summary of evidence presented at the 2017 OTA Annual Meeting Symposium; "Thromboprophylaxis an Update of Current Practice: Can We Reach A Consensus?" The need for prophylaxis in pelvic and acetabular fracture patients; the existing body of evidence related to VTE, pulmonary embolism (PE), and prophylaxis for patients with fractures about the knee; current evidence in Edinburgh Scotland, regarding VTE prophylaxis in patients with isolated ankle fractures and the risk of VTE in patients with a hip fracture are topics that are addressed. The reader will benefit from the wisdom of this compilation of global contributions on thromboprophylaxis.

Keywords: deep venous thrombosis prophylaxis; fracture; pulmonary embolism; thromboprophylaxis; venous thromboembolism.