Seminars in Arthroplasty
Volume 20, Issue 4 , Pages 230-234 , December 2009

AAOS Guidelines for the Prevention of Symptomatic Pulmonary Embolism After Total Hip and Total Knee Arthroplasty: Advantages and Disadvantages

  • Paul F. Lachiewicz, MD

      Affiliations

    • Section of Orthopaedics, Department of Surgery, Duke University School of Medicine, Durham VA Medical Center, Durham, NC, USA
    • Chapel Hill Orthopedics Surgery & Sports Medicine, Chapel Hill, NC, USA
    • Corresponding Author InformationAddress reprint requests to Paul F. Lachiewicz, MD, Section of Orthopaedics, Department of Surgery, Duke University School of Medicine, Durham VA Medical Center, 508 Fulton Street, Durham, NC 27705

References 

  1. Geerts WH, Bergqvist D, Pineo GF, et al. American College of Chest Physicians Prevention of venous thromboembolism: American College of Chest Physicians evidence-based clinical practice guidelines. (8th Ed) Chest. 2008;133(6 suppl):381S–453S
  2. Callaghan JJ, Dorr LD, Engh GA, et al. Prophylaxis for thromboembolic disease (Recommendations from the American College of Chest Physicians—Are they appropriate for orthopaedic surgery?). (Editorial) J Arthroplasty. 2005;20:273–274
  3. Howie C, Hughes H, Watts AC. Venous thromboembolism associated with hip and knee replacement over a ten-year period: A population-based study. J Bone Joint Surg Br. 2005;87:1675–1680
  4. Soohoo NF, Lieberman JR, Ko CY, et al. Factors predicting complication rates following total knee replacement. J Bone Joint Surg Am. 2006;88:480–485
  5. Burnett RSJ, Clohisy JC, Wright RW, et al. Failure of the American College of Chest Physicians––1A protocol for Lovenox in clinical outcomes for thromboembolic prophylaxis. J Arthroplasty. 2007;22:317–324
  6. Galat DD, McGovern SC, Hanssen AD, et al. Early return to surgery for evacuation of a postoperative hematoma after primary total knee arthroplasty. J Bone Joint Surg Am. 2008;90:2331–2336
  7. Haas SB, Barrack RL, Westrich G, et al. Venous thromboembolic disease after total hip and knee arthroplasty. J Bone Joint Surg Am. 2008;90:2764–2780
  8. Johanson NA, Lachiewicz PF, Lieberman JR, et al. Prevention of symptomatic pulmonary embolism in patients undergoing total hip or knee arthroplasty. J Am Acad Orthop Surg. 2009;17:183–196
  9. Lachiewicz PF. Prevention of symptomatic pulmonary embolism in patients undergoing total hip and knee arthroplasty: Clinical guideline of the American Academy of Orthopaedic Surgeons. In:  Azar F,  O'Connor M editor. Instructional Course Lectures, Volume 58. Rosemont, IL: American Academy of Orthopedic Surgeons; 2009;p. 795–804
  10. Lotke PA, Lonner JH. The benefit of aspirin chemoprophylaxis for thromboembolism after total knee arthroplasty. Clin Orthop Relat Res. 2006;452:175–180
  11. Dorr LD, Gendelman V, Maheshwari AV, et al. Multimodal thromboprophylaxis for total hip and knee arthroplasty based on risk assessment. J Bone Joint Surg Am. 2007;89:2648–2657
  12. Lachiewicz PF, Soileau ES. Mechanical calf compression and aspirin prophylaxis for total knee arthroplasty. Clin Orthop. 2007;464:61–64
  13. Westrich GH, Farrell C, Bono JV, et al. The incidence of venous thromboembolism after total hip arthroplasty: A specific hypotensive anesthesia protocol. J Arthroplasty. 1999;14:456–463
  14. Lachiewicz PF, Soileau ES. Multimodal prophylaxis for THA with mechanical compression. Clin Orthop. 2006;453:225–230
  15. Eikelboom JW, Karthikeyan G, Fagel N, et al. American Association of Orthopedic Surgeons and American College of Chest Physicians guidelines for venous thromboembolism prevention in hip and knee arthroplasty differ (What are the implications for clinicians and patients?). Chest. 2009;135:513–520

PII: S1045-4527(09)00058-3

doi: 10.1053/j.sart.2009.10.006

Seminars in Arthroplasty
Volume 20, Issue 4 , Pages 230-234 , December 2009

Article Tools