| Literature DB >> 16950076 |
Geoffrey H Westrich1, Friedrich Bottner, Russell E Windsor, Richard S Laskin, Steven B Haas, Thomas P Sculco.
Abstract
Two hundred seventy-five patients undergoing unilateral total knee arthroplasty were prospectively randomized to receive spinal epidural anesthesia (SEA), a VenaFlow calf compression device, and enoxaparin (group A) or SEA, VenaFlow, and aspirin (group B). Aspirin was started on the day of surgery, whereas enoxaparin was started 48 hours after surgery. Anticoagulants were continued for 4 weeks after surgery. All patients had an in-hospital ultrasound screening test on postoperative days 3 to 5 and a second follow-up ultrasound 4 to 6 weeks after surgery. The overall deep venous thrombosis rates in groups A and B were 14.1% and 17.8% (P = not significant), respectively. When used in combination with pneumatic compression devices and SEA, enoxaparin was not superior to aspirin in preventing deep venous thrombosis after total knee arthroplasty.Entities:
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Year: 2006 PMID： 16950076 DOI： 10.1016/j.arth.2006.05.017
Source DB: PubMed Journal: J Arthroplasty ISSN： 0883-5403 Impact factor: 4.757