ARTHROPLASTY
TKA prophylaxis: Risk-dependent anticoagulation safer than routine anticoagulation
J Arthroplasty. 2013 Dec;28(10):1868-73. doi: 10.1016/j.arth.2013.05.025. Epub 2013 Jun 21.673 patients undergoing primary or a staged bilateral total knee arthroplasty (900 procedures) were randomized to receive thromboprophylactic treatment either based on their level of risk for deep venous thrombosis (DVT), or according to a routine anticoagulation protocol. The purpose of this study was to compare these two protocols on the resulting incidence of deep vein thrombosis and wound complications. Results after 1 year indicated that the risk stratification group had a similar incidence of DVT and a significantly lower incidence of wound complications, when compared to the routine anticoagulation group.
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