An unexpected complication of DVT prophylaxis.
We report a case in which a complication of routine chemoprophylaxis with subcutaneous low-molecular-weight heparin led to the postponement of a total hip replacement. This unusual reaction reinforces the current debate regarding the use of chemoprophylaxis for joint replacement surgery.
Manktelow
A R
AR
Department of Orthopedic Surgery, Lister Hospital, Stevenage, Herts, United Kingdom.
Haddad
F S
FS
Powles
D P
DP
D000368:Aged; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects*; D018890:Chemoprevention; D017984:Enoxaparin / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced*; D006621:Hip Joint / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D007279:Injections, Subcutaneous / Q000009:adverse effects; D013924:Thrombophlebitis / Q000517:prevention & control*
D000925:Anticoagulants; D017984:Enoxaparin