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Effectiveness of Mechanical Devices in Orthopedic Surgery

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Thromboembolism in Orthopedic Surgery

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Abstract

Orthopedic surgeons are intuitively drawn to mechanical thromboprophylactic methods because of the perceived lack of bleeding complications, fear of which inhibits universal acceptance of effective chemical methods. Some mechanical methods such as graduated stockings, foot pumps, and calf compressors have a good evidence base with studies showing a consistent reduction in thrombosis. Drawbacks include cost, convenience, and compliance. The ideal role is in conjunction with, rather than in competition with, chemical methods.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Southampton, Southampton, SO16 6UY, UK

    David J. Warwick M.D., FRCS, FRCS (Orth)

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  1. David J. Warwick M.D., FRCS, FRCS (Orth)
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Correspondence to David J. Warwick M.D., FRCS, FRCS (Orth) .

Editor information

Editors and Affiliations

  1. , Department of Anaesthesiology and Critic, University Hospital of Valencia, Valencia, 46010, Spain

    Juan V. Llau

Glossary

ACCP

American College of Chest Physicians

DVT

Deep vein thrombosis

GCS

Graduated compression stockings

ICS

International Consensus Statement

IPC

Intermittent pneumatic compression

LMWH

Low molecular weight heparin

NICE

National Institute of Health and Clinical Excellence

PA

Pulmonary embolism

THR

Total hip replacement

TKR

Total knee replacement

US

Ultrasound

VTE

Venous thromboembolism

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Warwick, D.J. (2013). Effectiveness of Mechanical Devices in Orthopedic Surgery. In: Llau, J. (eds) Thromboembolism in Orthopedic Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4336-9_7

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