Abstract
Major surgery or traumas of the lower extremities trigger the coagulation cascade, and the physiologic equilibrium between factors promoting and retarding coagulation is disturbed resulting in a hypercoagulable state. In these patients, a reduced venous flow and impaired endothelial function further increase the risk of developing deep-vein thrombosis and pulmonary embolism. Pulmonary embolism is estimated to contribute to half of all perioperative mortality after major orthopedic surgery in unprotected patients, and deep-vein thrombosis is the main source of pulmonary emboli.
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Eriksson, B.I., Dahl, O.E. (2013). Thromboembolism in Orthopedic Surgery: Scope of the Problem. In: Llau, J. (eds) Thromboembolism in Orthopedic Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4336-9_1
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DOI: https://doi.org/10.1007/978-1-4471-4336-9_1
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