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Published on: February 10, 2023
Concomitant Venous Thrombosis and Pulmonary Embolism After Hip Arthroscopy in a Patient With Heterozygous Factor V
Raveesh D Richard1, Brooke E Maloney, Glen T Feltham
1Department of Orthopaedic Surgery, Geisinger Medical Center, Danville, PA. raveeshrichard@gmail.com.
Abstract:
As hip arthroscopy becomes more prevalent, it is imperative to identify potential risks associated with this procedure. In this article, we report a case of deep vein thrombosis (DVT) and pulmonary embolism that developed after hip arthroscopy in a moderate-risk patient with heterozygous factor V Leiden deficiency. The patient concomitantly developed DVT and pulmonary embolism during a 5-day course of treatment with subcutaneous enoxaparin. The American College of Chest Physicians and American Academy of Orthopaedic Surgeons guidelines on postarthroplasty DVT prophylaxis do not address thromboprophylaxis in hip arthroscopy. Guidelines on managing venous thromboembolism after hip arthroscopy are needed. With complications increasing, protocols should be implemented to address the potential risks of this popular procedure.
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