, Volume 14, Issue 1, pp 1-13,
Open Access This content is freely available online to anyone, anywhere at any time.
Date: 07 Dec 2012

II Italian intersociety consensus statement on antithrombotic prophylaxis in orthopaedics and traumatology


Pharmacological prophylaxis for preventing venous thromboembolism (VTE) is a worldwide established procedure in hip and knee replacement surgery, as well as in the treatment of femoral neck fractures, but few data exist in other fields of orthopaedics and traumatology. Thus, no guidelines or recommendations are available in the literature except for a limited number of weak statements about knee arthroscopy and lower limb fractures. In any case, none of them are a multidisciplinary effort as the one here presented. The Italian Society for Studies on Haemostasis and Thrombosis (SISET), the Italian Society of Orthopaedics and Traumatology (SIOT), the Association of Orthopaedic Traumatology of Italian Hospitals (OTODI), together with the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) and the Italian Society of General Medicine (SIMG) have set down easy and quick suggestions for VTE prophylaxis in a number of surgical conditions for which only scarce evidence is available. This inter-society consensus statement aims at simplifying the approach to VTE prophylaxis in the single patient with the goal to improve its clinical application.

Working group participants and affiliated Societies:
F. Randelli, E. Romanini—on behalf of Società Italiana di Ortopedia and Traumatologia (SIOT).
F. Biggi—on behalf of Ortopedici and Traumatologi Ospedalieri D’Italia (OTODI).
G. Della Rocca, G. Danelli—on behalf of Società Italiana di Anestesia, Analgesia, Rianimazione and Terapia Intensiva (SIAARTI).
N.R. Laurora—on behalf of Società Italiana di Medicina Generale (SIMG).
D. Imberti, G. Palareti, D. Prisco—on behalf of Società Italiana per lo Studio dell’Emostasi e della Trombosi (SISET).
R. Landolfi, Dipartimento di Scienze Mediche, Policlinico A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy.
M. D’Imporzano, Scientific Director, Istituto Ortopedico Gaetano Pini, Milan, Italy.
This statement is addressed to the Italian scientific community and institutions with the aim of attaining good clinical practice in the profession.