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Total hip replacement and antithrombotic prophylaxis.

I J Brenkel1, M J Clancy

  • 1St James's University Hospital, Leeds.

British Journal of Hospital Medicine
|October 1, 1989
PubMed
Summary
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Many British orthopaedic surgeons do not routinely use pharmacological prophylaxis for total hip replacements. Over half of surveyed surgeons either use no prophylaxis or only mechanical methods, impacting patient care strategies.

Area of Science:

  • Orthopaedic Surgery
  • Thromboembolism Prevention

Background:

  • Thromboembolism remains a significant risk for patients undergoing total hip replacement (THR).
  • Prophylaxis strategies are crucial for mitigating this risk.

Purpose of the Study:

  • To assess current practices of thromboembolism prophylaxis among British orthopaedic surgeons performing total hip replacements.

Main Methods:

  • A survey was distributed to 690 British orthopaedic surgeons.
  • Practices regarding pharmacological and mechanical prophylaxis for THR were recorded.

Main Results:

  • 50.4% of surgeons do not routinely use pharmacological prophylaxis (190 no prophylaxis, 158 mechanical only).
  • 41.9% use a single pharmacological agent (with or without mechanical prophylaxis).

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  • 7.7% use two or more pharmacological agents.

    • Conclusions:

    • There is considerable variation in thromboembolism prophylaxis practices for THR in the UK.
    • A significant proportion of surgeons rely on non-pharmacological or single-agent methods, highlighting potential areas for guideline refinement.