The Hip - book

Role of Heparin in Hip Frx

Low-molecular-weight heparinoid compared with warfarin for prophylaxis of deep-vein thrombosis in patients who are operated on for fracture of the hip. A prospective, randomized trial. Dose relation in the prevention of proximal vein thrombosis with a low molecular weight heparin (tinzaparin) in elective hip arthroplasty. Prevention of fatal pulmonary embolism in patients with fractures of … Read more

Deep Venous Thrombosis (DVT) – Risk Reduction

Procedure-specific risk reduction THA TKA trauma, pelvic fractures, and extremity fractures hip fracture Specific agents for risk reduction apixaban (oral factor Xa inhibitor) Apixaban for Extended Treatment of Venous Thromboembolism aspirin  (see role of ASA for DVT prophylaxsis) danaparoid low molecular wt glycosaminoglycan with potent anti factor Xa activity fondaparinux low molecular weight heparins may … Read more

DVT and PE – Risks

Total hip replacement (THA) overview 40-60% of THA patients who do not receive prophylaxis will get a DVT (dependent on imaging method) reference – Significance of deep venous thrombosis in the lower extremity after total joint arthroplasty. in contrast, the study by Fender, et al. (1997) showed that the incidence of fatal PE (as diagnosed … Read more

References for Thromboembolic Rx in Hip Frx

Compression ultrasonography for the detection of deep venous thrombosis in patients who have a fracture of the hip. A prospective study. Low-molecular-weight heparinoid compared with warfarin for prophylaxis of deep-vein thrombosis in patients who are operated on for fracture of the hip. A prospective, randomized trial. Prevention of DVT after elective hip surgery. A randomized trial comparing low … Read more

References for Warfarin

Current Concepts Review. Prophylaxis of Venous Thromboembolic Disease Following Hip and Knee Surgery. Low-molecular-weight heparinoid compared with warfarin for prophylaxis of deep vein thrombosis in patients who are operated on for fracture of the hip. Intermittent pneumatic compression to prevent proximal deep vein thrombosis during and after total hip replacement. A prospective, randomized study of compression alone, compression and aspirin, and … Read more

DVT and PE References

Current Concepts Review. Prevention of venous thromboembolism after total hip and knee arthroplasty. Current Concepts Review. Prophylaxis of venous thromboembolic disease following hip and knee surgery. Original Articles: Deep-vein thrombosis and the incidence of subsequent symptomatic cancer. Deep venous thrombosis and pulmonary embolism after major reconstructive operations on the spine. A prospective analysis of three … Read more

Prophylaxis for DVT

Reduction in fatal pulmonary embolism and venous thrombosis by perioperative administration of subcutaneous heparin. Overview of results of randomized trials in general, orthopedic, and urologic surgery. Use of the Greenfield filter to prevent fatal pulmonary embolism associated with total hip and knee arthroplasty. Randomized controlled study of heparin and low molecular weight heparin for prevention of … Read more

PreOp Planning for TKR

– See: TKR Menu – Checklist: – surgical risk assessment – preop cardiology, dental, GI, and urological consults – risk factors for infection: are taken into consideration; – tranexamic acid – anesthesia consult and posting – Pulmonary embolism prophylaxis in more than 30,000 total knee arthroplasty patients: is there a best choice? – autologous blood / … Read more

Popliteal Artery

– See: differential diagnosis of posterior fossa masses – Discussion:     – popliteal artery is the continuation of superficial femoral artery at hiatus of the adductor magnus muscle;     – artery is anchored proximally by tendinous insertion of adductor magnus upon the medial femoral epicondyle;     – it runs posterior to the distal … Read more