Deep Vein Thrombosis Prophylaxis: Better Living Through Chemistry—Opposes
The risk for venous thromboembolic events after total joint arthroplasty is well known. Use of pharmacologic prophylaxis is recommended by many guidelines, but with pharmacologic prophylaxis comes the possibility of bleeding with a major surgical incision. With a new mobile compression device that can be worn in or out of bed, in the hospital, or at home, or a rehabilitation facility, the concern for major bleeding is eliminated, and the rate of venous thromboembolic events is similar to that of pharmacologic prophylaxis.
Shiley Center for Orthopaedic Research and Education at Scripps Clinic, La Jolla, CA, USA
Address reprint requests to Clifford W. Colwell Jr, MD, Center for Orthopaedic Research and Education at Scripps Clinic, 11025 North Torrey Pines Rd., Suite 140, La Jolla, CA 92037