12 papers · updated 2026-09-26 · General Orthopaedics · All topics
The newest papers on venous thromboembolism prophylaxis from the orthopaedic journals The Reduction reads, newest first, each with a one-line summary. The list is drawn from the digest’s archive and refreshed every week.
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In a UK cohort of 476,620 arthroplasties, VTE rates fell over time for hip and knee (but not clearly due to NICE guidelines), while a 2018 guideline update was linked to a 9% VTE reduction after shoulder arthroplasty.
Aspirin for thromboprophylaxis after total knee arthroplasty reduced manipulation under anesthesia rates by 26-38% and hematoma formation by 26-69% compared to potent anticoagulants without increasing clotting risk.
Among 8,073 primary hip/knee arthroplasty patients, once-daily 81 mg aspirin achieved a low VTE rate (1.1%) statistically noninferior to twice-daily aspirin or stronger anticoagulants, supporting simplified dosing.
Incidence of Lower Extremity Deep Vein Thrombosis Following Arthroscopic Rotator Cuff Repair.
Asymptomatic DVT occurs in 5.3% after rotator cuff repair; routine screening not recommended given distal location and asymptomatic presentation.
Blood transfusions after revision TKA increase pulmonary embolism, DVT, and periprosthetic infection risks within 90 days.
VTE risk after degenerative spine surgery stays elevated up to four months, peaking at month two, supporting extended thromboembolic surveillance beyond the early perioperative window.
Aspirin prophylaxis after THA in patients with prior hematologic malignancy reduces VTE risk and complications compared to anticoagulants, supporting its use as safe option.
Early tourniquet release in primary total knee arthroplasty reduced proximal DVT incidence without affecting clinical outcomes or blood loss.
Venous thromboembolism in children with lower limb fractures: A systematic review and meta-analysis.
Venous thromboembolism occurs infrequently in children with lower limb fractures at 0.53% rate; evidence for pharmacological prophylaxis remains sparse.
Superficial and deep infection rates after foot-ankle surgery were 4.1% and 1.4%; diabetic and trauma procedures had significantly higher infection rates.
Update on Venous Thromboembolism in Orthopaedic Trauma Surgery.
Recent evidence shows aspirin noninferior to anticoagulants for VTE prevention in orthopaedic trauma; direct oral anticoagulants offer promising alternatives.
Venous Thromboembolic Prophylaxis After Total Hip and Knee Arthroplasty.
No single VTE prophylaxis agent is proven superior after hip/knee arthroplasty—aspirin is increasingly popular, but risk-stratified, shared decision-making remains key to balancing clot versus bleeding risk.
Dabigatran showed inferior efficacy compared to twice-daily enoxaparin 30 mg for venous thromboembolism prevention after total knee arthroplasty.
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