title: Is venous foot pump effective in prevention of thromboembolic disease after joint arthroplasty: a meta-analysis.
abstract: The goal of this meta-analysis was to evaluate the efficacy of venous foot pumps in prevention of venous thromboembolism following joint arthroplasty. Using different databases, we found 13 prospective clinical trials published meeting our inclusion criteria. In total, 1514 patients were included in the final analysis. Venous foot pump devices are effective in prevention of venous thromboembolic disease after total hip and knee arthroplasty compared to chemoprophylaxis. This was especially significant in prevention of major deep vein thrombosis and pulmonary emboli rate. The use of mechanical devices like venous calf or foot pump, either alone or in combination with less potent chemical prophylaxis, on the other hand can reduce the rate of venous thromboembolism and complications of potent chemoprophylaxis like wound hematoma.
authors.affiliation: Rothman Institute of Orthopedics at Jefferson, Philadelphia, PA 19107, USA.
authors.forename: Aidin Eslam
authors.initials: AE
authors.lastname: Pour
authors.forename: Nahid R
authors.initials: NR
authors.lastname: Keshavarzi
authors.forename: James J
authors.initials: JJ
authors.lastname: Purtill
authors.forename: Peter F
authors.initials: PF
authors.lastname: Sharkey
authors.forename: Javad
authors.initials: J
authors.lastname: Parvizi
mesh_terms: D019643:Arthroplasty, Replacement / Q000009:adverse effects*; D006801:Humans; D048228:Intermittent Pneumatic Compression Devices; D012307:Risk Factors; D054556:Venous Thromboembolism / Q000209:etiology / Q000517:prevention & control*; D020246:Venous Thrombosis / Q000209:etiology / Q000517:prevention & control*