Acute venous thromboembolism after non-major orthopaedic surgery or post-traumatic limb immobilisation. Findings from the RIETE registry.

摘要

Major orthopaedic surgery, such as total hip or knee replacement and hip fracture, is a well documented major trigger of venous thromboembolism (VTE), and represents an undebated indication for pharmacological thromboprophylaxis (1). Conversely, the American College of Chest Physicians (ACCP) guidelines (8th edition) do not recommend thromboprophylaxis in non-major orthopaedic surgery (NMOS), in the absence of additional thrombosis risk factor (1). Data on VTE following NMOS or post-traumatic limb immobilisation without surgery are scarce. This situation, however, represents a number of conditions such as: reconstruction or me-niscal surgery, trauma or fracture of limb (upper or lower extremity, with or without plaster cast), immobilisation of lower limb due to pelvis or vertebral fractures, and many others. Beam et al.