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Consenso intersocietario sulla profilassi antitrombotica in chirurgia protesica dell’anca e del ginocchio e nelle fratture del collo femorale: aggiornamento 2013

Inter-society consensus statement on antithrombotic prophylaxis in hip and knee replacement and in femoral neck fracture surgery: a 2013 update

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LO SCALPELLO-OTODI Educational

Abstract

Anticoagulant prophylaxis for preventing VTE is a world wide established procedure in hip and knee replacement surgery, as well as in the treatment of femoral neck fractures. Different guidelines are available in literature with quite different recommendations. None of them is a multidisciplinary effort as the one presented. In 2010 the Italian Society on Haemostasis and Thrombosis (SISET), the Italian Society of Orthopaedics and Traumatology (SIOT), the Association of Orthopaedics and Traumatologists of Italian Hospitals (OTODI), together with the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI), have set down practical suggestions for VTE prophylaxis in hip and knee surgery as well as in femoral neck fracture treatment. This Intersociety Consensus Statement aimed at simplifying the grading system reported in the literature, and its goal was to favour its clinical application. Special focuses addressed fragile patients and those patients at high risk of bleeding or receiving chronic antiplatelet and vitamin K antagonists treatment, and a special chapter was dedicated to regional anaesthesia and VTE prophylaxis. The registration of three novel oral anticoagulants (dabigatran, rivaroxaban and apixaban) for VTE prophylaxis in major orthopedic surgery and the ongoing introduction of these drugs for the prevention of embolism in atrial fibrillation make it necessary an update of the Intersociety Consensus Statement.

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Authors and Affiliations

  1. UOA Ortopedia e Traumatologia, Ospedale S. Martino, Belluno, Italia

    F. Biggi

  2. Dipartimento di Ortopedia e Traumatologia V, IRCCS Policlinico San Donato, S. Donato Milanese, MI, Italia

    F. Randelli

  3. Anestesia e Rianimazione, Università degli Studi di Udine, Udine, Italia

    G. Della Rocca

  4. UO Medicina Interna, Centro Emostasi e Trombosi, Ospedale Civile di Piacenza, Piacenza, Italia

    D. Imberti

  5. Dipartimento di Anestesia Regionale e Terapia del Dolore, IRCCS Policlinico San Donato, S. Donato Milanese, MI, Italia

    P. Grossi

  6. Dipartimento di Scienze Mediche, Policlinico A. Gemelli, Università Cattolica del Sacro Cuore, Roma, Italia

    R. Landolfi

  7. UO Angiologia e Malattie della Coagulazione, Azienda Ospedaliera Universitaria S. Orsola-Malpighi, Bologna, Italia

    G. Palareti

  8. SOD Patologia Medica, Azienda Ospedaliera Universitaria Careggi, Firenze, Italia

    D. Prisco

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  1. F. Biggi
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  2. F. Randelli
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  3. G. Della Rocca
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Correspondence to F. Biggi.

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Biggi, F., Randelli, F., Della Rocca, G. et al. Consenso intersocietario sulla profilassi antitrombotica in chirurgia protesica dell’anca e del ginocchio e nelle fratture del collo femorale: aggiornamento 2013. LO SCALPELLO 27, 161–169 (2013). https://doi.org/10.1007/s11639-013-0047-3

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