ABSTRACT
Venous thromboembolism (VTE) is a worldwide public health problem, with an annual incidence of 1-2 cases/1,000 individuals in the general population and a 1-5% associated mortality. Orthopedic surgery is a major surgical risk factor for VTE, but the problem is more important for patients with hip and knee joint replacement, multiple traumatisms, severe damage to the spine, or large fractures. Thromboprophylaxis is defined as the strategy and actions necessary to diminish the risk of VTE in high-risk orthopedic surgery. Antithrombotics may prevent VTE. At the end of this paper, we describe a proposal of thromboprophylaxis actions for patients requiring high-risk orthopedic surgery, based on the opinion of specialists in Orthopedics and Traumatology who work with high-risk orthopedic surgery patients. A search for evidence about this kind of surgery was performed and a 100-item inquiring instrument was done in order to know the opinions of the participants. Then, recommendations and considerations were built. In conclusion, this document reviews the problem of VTE in high-risk orthopedic surgery patients and describes the position of the Colegio Mexicano de Ortopedia y Traumatología related to VTE prevention in this setting.
Subject(s)
Orthopedic Procedures/adverse effects , Venous Thromboembolism/etiology , Venous Thromboembolism/prevention & control , Humans , Risk , Risk FactorsABSTRACT
Este es un estudio retrospectivo, longitudinal, observacional y descriptivo. Se estudiaron 16 pacientes, captados de enero a diciembre de 1997, con diagnóstico de inestabilidad acetabular después de reemplazo total de cadera. Fueron siete hombres y nueve mujeres; el promedio de edad fue de 60.3 años. El promedio de tiempo transcurrido entre la última cirugía y la colocación del anillo de Ganz fue de 9.4 años. Usamos la escala de Merle D'Aubigné para evaluar el resultado del anillo de Ganz, con 63 por ciento de buenos resultados y un 13 por ciento de regulares resultados.
