Deep Vein Thrombosis and Pulmonary Embolism Considerations in Orthopedic Surgery

Orthop Clin North Am. 2017 Apr;48(2):127-135. doi: 10.1016/j.ocl.2016.12.003. Epub 2017 Jan 27.

Abstract

Patients undergoing orthopedic surgery have an increased risk for deep venous thrombosis (DVT) and pulmonary embolism (PE). These complications are considered detrimental, as they cause major postoperative morbidity and mortality and lead to a substantial health care burden. Because of the high incidence and serious nature of these complications, it is essential for orthopedic surgeons to have a comprehensive knowledge of the risk factors, diagnosis, and treatment of acute DVT and PE. Perioperative management of orthopedic patients to prevent postoperative DVT and PE and optimize postoperative outcomes is also discussed in this review.

Keywords: Deep vein thrombosis; Perioperative clearance; Prophylaxis; Pulmonary embolism; Risk factors; Treatment; Venous thromboembolism.

Publication types

  • Review

MeSH terms

  • Humans
  • Incidence
  • Orthopedic Procedures / adverse effects*
  • Orthopedic Procedures / methods
  • Perioperative Care / methods*
  • Postoperative Complications / prevention & control*
  • Primary Prevention / methods*
  • Pulmonary Embolism* / etiology
  • Pulmonary Embolism* / prevention & control
  • Risk Assessment
  • Risk Factors
  • Venous Thrombosis* / etiology
  • Venous Thrombosis* / prevention & control