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Mechanical Prophylaxis after Lower Extremity Total Joint Arthroplasty: A Review
Morad Chughtai1, Jared M Newman2, Max Solow3
1Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.
Surgical Technology International
|January 9, 2018
Summary
Mechanical prophylaxis is increasingly used to prevent venous thromboembolism (VTE) after hip and knee replacement surgery, offering an alternative to medications with potential adverse events. This review examines its use in lower extremity total joint arthroplasty.
Area of Science:
- Orthopedic Surgery
- Vascular Medicine
- Medical Device Technology
Background:
- Venous thromboembolism (VTE) is a significant risk following total hip and knee arthroplasty.
- Pharmacological prophylaxis for VTE carries risks of adverse events.
- Mechanical prophylaxis is an alternative or adjunct for VTE prevention.
Purpose of the Study:
- To review the current literature on mechanical prophylaxis for VTE.
- To specifically examine mechanical prophylaxis after total hip arthroplasty (THA).
- To specifically examine mechanical prophylaxis after total knee arthroplasty (TKA).
Main Methods:
- Literature review of studies on mechanical prophylaxis for VTE.
- Focus on studies related to lower extremity total joint arthroplasty.
- Analysis of data concerning THA and TKA procedures.
Main Results:
- Mechanical prophylaxis is frequently employed, alone or with medications.
- Evidence supports the use of mechanical devices in VTE prevention.
- Specific efficacy data for THA and TKA contexts were reviewed.
Conclusions:
- Mechanical prophylaxis is a key strategy in managing VTE risk post-arthroplasty.
- Further research may refine optimal mechanical prophylaxis protocols.
- This review synthesizes current evidence for clinical practice.
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