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The incidence of venous thromboembolism (VTE)--after hip arthroscopy

Michael J Alaia, Deepan Patel, Anna Levy

    Bulletin of the Hospital for Joint Disease (2013)
    |August 24, 2014
    PubMed

    Insights

    The incidence of venous thromboembolism (VTE) after hip arthroscopy is low at 1.4%. Routine pharmacologic prophylaxis may not be indicated for low-risk patients undergoing hip arthroscopy.

    Area of Science:

    • Orthopedic Surgery
    • Vascular Surgery
    • Medical Diagnostics

    Background:

    • Hip arthroscopy is an increasingly common orthopedic procedure.
    • Venous thromboembolism (VTE) is a potential complication following lower extremity surgery.
    • Risk stratification for VTE is crucial in surgical patient management.

    Purpose of the Study:

    • To determine the incidence of VTE after hip arthroscopy.
    • To evaluate the safety and necessity of routine VTE prophylaxis in this patient population.

    Main Methods:

    • Prospective screening of 139 patients undergoing hip arthroscopy for VTE using duplex ultrasound.
    • Stratification of patients for VTE risk prior to surgery.
    • Exclusion of mechanical and chemoprophylaxis; recording of perioperative factors.

    Main Results:

    • A symptomatic VTE incidence of 1.4% (2/139) was observed.
    • No asymptomatic deep vein thrombosis (DVT) cases were detected.
    • The two VTE events (one DVT, one pulmonary embolus) occurred in patients with specific risk factors.

    Conclusions:

    • The postoperative VTE rate following hip arthroscopy is low.
    • Routine pharmacologic prophylaxis may not be necessary for low-risk, properly stratified patients.
    • Preoperative patient counseling regarding VTE risk is essential.
    Abstract

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