Related Experiment Video
Updated: May 8, 2026
10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Venous thromboembolism after shoulder arthroplasty: a systematic review
Hosny E Saleh1, Amanda L Pennings, Amr W ElMaraghy
1Consultant Orthopaedic Surgeon, King Fahd Military Medical Complex, Dhahran, Saudi Arabia.
Journal of Shoulder and Elbow Surgery
|August 27, 2013
Summary
Venous thromboembolism (VTE) is a potential complication after shoulder arthroplasty (SA). Risk factors include prior VTE and immobility, but optimal prophylaxis remains unknown, requiring further research.
Area of Science:
- Orthopaedic Surgery
- Vascular Medicine
- Patient Safety
Background:
- Shoulder arthroplasty (SA) is increasingly common.
- Venous thromboembolism (VTE) after SA is understudied.
- Literature lacks a comprehensive VTE summary post-SA.
Purpose of the Study:
- To summarize VTE incidence, risk factors, and prophylaxis after SA.
- To systematically analyze existing literature on VTE in SA patients.
Main Methods:
- Systematic literature review across 5 databases (EMBASE, MEDLINE, Web of Science, CINAHL, Cochrane).
- Inclusion of 14 articles reporting VTE cases post-SA.
- Critical appraisal and analysis of incidence, risk factors, diagnosis, and management.
Main Results:
- VTE incidence ranged from 0.2% to 16.0% post-SA.
- Key risk factors: prior VTE, thrombophilia, major surgery, advanced age, malignancy, immobility.
- Diagnosis via duplex scan and CT scan; prophylaxis used in 43% of studies, optimal method unknown.
Conclusions:
- Surgeons must recognize VTE risk after SA.
- Recommend assessing patient-specific VTE risk factors.
- Ideal VTE prophylaxis post-SA requires further investigation.
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:30Venous Thrombosis I: Introduction
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
01:30Venous Thrombosis IV: Nursing Management
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...