[Thromboprophylaxis is not indicated for knee arthroscopy and cast immobilisation].
The incidence ofvenous thromboembolism following knee arthroscopy and plaster-cast immobilisation of the lower extremity is considerable (10-20%). The available data are insufficient to demonstrate that pharmacological thromboprophylaxis reduces the incidence of venous thromboembolism significantly. Withholding patients thromboprophylaxis in these situations is therefore a reasonable approach.
Verheyen
C C P M
CC
Isala klinieken, vakgroep Orthopedie en Traumatologie, Zwolle. c.c.p.m.verheyen@isala.nl
D000925:Anticoagulants / Q000627:therapeutic use; D001182:Arthroscopy / Q000009:adverse effects*; D002370:Casts, Surgical / Q000009:adverse effects*; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D012307:Risk Factors; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000453:epidemiology* / Q000517:prevention & control*