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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
Venous thromboembolism in lower extremity arthroscopy.
Brandon D Bushnell1, Adam W Anz, Jack M Bert
1Department of Orthopaedic Surgery, the University of North Carolina Hospitals, Chapel Hill, North Carolina 27599, USA. bbushnel@unch.unc.edu
Summary
Venous thromboembolism (VTE) is a rare but serious risk after lower extremity arthroscopy. This review examines VTE incidence, treatment, and prevention strategies for knee, ankle, and hip arthroscopic procedures.
Area of Science:
- Orthopedic Surgery
- Vascular Medicine
- Medical Complications
Background:
- Venous thromboembolism (VTE) is a rare complication following lower extremity arthroscopic surgery.
- While VTE after knee arthroscopy is documented, data for ankle and hip arthroscopy are limited.
- VTE can lead to significant patient morbidity and mortality.
Purpose of the Study:
- To review the current literature on VTE incidence after lower extremity arthroscopy.
- To summarize established and proposed VTE prophylaxis guidelines.
- To discuss treatment and prevention strategies for VTE in this patient population.
Main Methods:
- Comprehensive literature search of studies on VTE and lower extremity arthroscopy.
- Analysis of reported VTE incidence rates across different joints (knee, ankle, hip).
- Review of existing clinical guidelines and expert recommendations for VTE prophylaxis.
Main Results:
- VTE incidence varies, with more data available for knee arthroscopy compared to ankle and hip.
- Guidelines for VTE prophylaxis exist for knee arthroscopy, but are less defined for other joints.
- The review consolidates information on risk factors, diagnostic methods, and treatment options.
Conclusions:
- Further research is needed to clarify VTE incidence and optimal prophylaxis after ankle and hip arthroscopy.
- Standardized VTE prevention protocols may be beneficial across all lower extremity arthroscopic procedures.
- Early recognition and management of VTE are crucial for improving patient outcomes.
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