Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Multimodal prophylaxis for THA with mechanical compression.

Paul F Lachiewicz1, Elizabeth S Soileau

  • 1Department of Orthopaedics, University of North Carolina, Chapel 3151 Bioinformatics Bldg, CB 7055, Chapel Hill, NC 27599-7055, USA. Paul_Lachiewicz@med.unc.edu

Clinical Orthopaedics and Related Research
|September 29, 2006
PubMed
Summary

Mechanical prophylaxis with thigh-calf compression effectively prevents blood clots in total hip arthroplasty patients. This multimodal approach significantly reduces the risk of deep vein thrombosis and pulmonary embolism, demonstrating high efficacy in surgical outcomes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

What would you do first? A survey of treatment priorities for patients with hip-spine syndrome among spine and hip surgeons.

BMC musculoskeletal disorders·2026
Same author

Racial Differences in Perioperative Pain Management After Total Knee Arthroplasty.

Journal of surgical orthopaedic advances·2025
Same author

Surgical Treatment of Severe Heterotopic Ossification After Total Hip Arthroplasty Over the Last 25 Years: A Systematic Review of the Literature and a New Case Series.

The Journal of arthroplasty·2024
Same author

What's Important: Private Equity Arrangements in Orthopaedic Surgery: Enter at Your Own Risk.

The Journal of bone and joint surgery. American volume·2024
Same author

Periarticular Injection and Peripheral Nerve Blocks 
With Standard Agents.

Instructional course lectures·2023
Same author

Failure of a Femoral Revision Knee Component with Chemical Corrosion and Elevated Metal Ions: A Case Report and Literature Review.

JBJS case connector·2023

Area of Science:

  • Orthopedic Surgery
  • Vascular Surgery
  • Anesthesiology

Background:

  • Deep vein thrombosis (DVT) and pulmonary embolism (PE) are significant risks following total hip arthroplasty (THA).
  • Current prophylaxis strategies often involve chemical agents, but mechanical methods offer an alternative or adjunct.
  • Optimizing prophylaxis protocols is crucial for improving patient safety and surgical outcomes.

Purpose of the Study:

  • To evaluate the efficacy of a multimodal thromboembolism prophylaxis protocol using mechanical compression in primary and revision THA.
  • To assess the incidence of deep vein thrombosis and pulmonary embolism in patients undergoing THA with this specific protocol.

Main Methods:

  • A prospective study involving 1032 primary and revision THA procedures.

Related Experiment Videos

  • Intraoperative mechanical prophylaxis with thigh-calf pneumatic compression was utilized.
  • Duplex ultrasonography was performed before discharge; chemical prophylaxis was initiated post-scan if indicated.

    • Main Results:

    • A 30-day mortality rate of 0.3% and one autopsy-proven fatal PE (0.09%) were observed.
    • Symptomatic PE occurred in 0.7% of patients, with only one associated with a positive duplex scan.
    • Deep vein thrombosis occurred in 3.9% of patients, with the majority being asymptomatic.

    Conclusions:

    • The multimodal protocol, emphasizing mechanical prophylaxis, is highly effective in preventing thromboembolic events in THA patients.
    • This approach demonstrates a low incidence of both symptomatic and asymptomatic deep vein thrombosis and pulmonary embolism.
    • The findings support the widespread use of mechanical prophylaxis in total hip arthroplasty.