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Deep Vein Thrombosis (DVT) and Total Knee Arthroplasty

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Surgical Techniques in Total Knee Arthroplasty

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Conclusion

As orthopedic surgeons, we are all biased by our personal opinions and experiences. This is very evident when looking at the DVT prophylaxis patterns used by individual surgeons. Although comparing 30 years of DVT data is similar to comparing apples to oranges (or perhaps the entire fruit basket!), some trends have become evident. Recent well-designed studies discussed above cast doubt on the previous confidence in ASA and warfarin. Although no prophylaxis method is ideal, mechanical compression devices and low molecular weight heparin appear promising. Further studies are needed to evaluate this true DVT rate when these modalities are both utilized. Together, as is done at many institutions, the length of therapy required must also be better defined.

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Authors
  1. Gilbert B. Cushner
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  2. Fred D. Cushner
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  3. Michael A. Cushner
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Editors and Affiliations

  1. Insall Scott Kelly Institute, 170 East End Avenue, New York, NY, 10128, USA

    Giles R. Scuderi M.D.

  2. Orthopaeidc Center of New Jersey, 1527 State Highway 27, Suite 1300, Somerset, NJ, 08873, USA

    Alfred J. Tria Jr. M.D.

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Cushner, G.B., Cushner, F.D., Cushner, M.A. (2002). Deep Vein Thrombosis (DVT) and Total Knee Arthroplasty. In: Scuderi, G.R., Tria, A.J. (eds) Surgical Techniques in Total Knee Arthroplasty. Springer, New York, NY. https://doi.org/10.1007/0-387-21714-2_92

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  • DOI: https://doi.org/10.1007/0-387-21714-2_92

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-98389-9

  • Online ISBN: 978-0-387-21714-7

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