ABSTRACT
Thromboembolic complications are frequent after orthopaedic surgery of the limbs. Strategies to minimize these complications go from recognize the risk factors of the patient to introduce new antithrombotic drugs, and including general medical care, regional anaesthesia and early mobilization. Based in epidemiological studies, prophylaxis must be extended 4-6 weeks in total hip and knee arthroplasty and in surgery of the hip fracture.
Subject(s)
Orthopedics , Venous Thromboembolism/prevention & control , Anesthesia, Conduction , Arthroplasty, Replacement, Hip , Arthroplasty, Replacement, Knee , Early Ambulation , Enoxaparin/administration & dosage , Enoxaparin/therapeutic use , Fibrinolytic Agents/administration & dosage , Fibrinolytic Agents/therapeutic use , Hip Fractures/surgery , Humans , Intraoperative Care , Morpholines/administration & dosage , Morpholines/therapeutic use , Postoperative Care , Prospective Studies , Randomized Controlled Trials as Topic , Risk Factors , Rivaroxaban , Thiophenes/administration & dosage , Thiophenes/therapeutic use , Time Factors , Venous Thromboembolism/epidemiologyABSTRACT
Las complicaciones tromboembólicas son muy frecuentes después de cirugía ortopédica de las extremidades inferiores. Las estrategias para disminuir su incidencia van desde reconocer los factores de riesgo a la introducción de nuevos fármacos antitrombóticos, pasandopor los cuidados generales del paciente, el uso de anestesia regional y la movilización precoz. En base a estudios epidemiológicos se determina que la profilaxis debe prolongarse hasta las 4-6 semanas en la artroplastia total de cadera y de rodilla, y en la cirugía de la fractura de cadera
Thromboembolic complications are frequent after orthopaedic surgery of the limbs. Strategies to minimize these complications go from recognize the risk factors of the patient to introduce new antithromboticdrugs, and including general medical care, regional anaesthesia and early mobilization. Based in epidemiological studies, prophylaxis must be extended 4-6 weeks in total hip and knee arthroplasty and in surgery of the hip fracture
