BACKGROUND: There is little data on the risk of deep vein thrombosis after knee arthroscopy. PATIENTS AND METHODS: We performed a prospective cohort study to establish the incidence of venous thrombo-embolic (VTE) complications after knee arthroscopy in daycare, as detected by bilateral complete compression ultrasonography (CCUS) at day 14 (11-17) postoperatively. 335 patients completed bilateral extended ultrasound. No thromboprophylaxis was given. RESULTS: 19 (5.7%; 95% CI: 3.5%-8.7%) showed VTE on CCUS, of whom 2 were symptomatic. 1 patient developed a non-fatal pulmonary embolus during the 8-week follow-up period. There was no difference in immobilization characteristics between the patients who developed postoperative DVT and those who did not; nor could other risk factors be identified. INTERPRETATION: Since the incidence of VTE is low and a specific high-risk group for the development of VTE could not be identified, it seems justified to withhold routine pharmacological thromboprophylaxis after arthroscopy of the knee in a daycare setting.
BACKGROUND: There is little data on the risk of deep vein thrombosis after knee arthroscopy. PATIENTS AND METHODS: We performed a prospective cohort study to establish the incidence of venous thrombo-embolic (VTE) complications after knee arthroscopy in daycare, as detected by bilateral complete compression ultrasonography (CCUS) at day 14 (11-17) postoperatively. 335 patients completed bilateral extended ultrasound. No thromboprophylaxis was given. RESULTS: 19 (5.7%; 95% CI: 3.5%-8.7%) showed VTE on CCUS, of whom 2 were symptomatic. 1 patient developed a non-fatal pulmonary embolus during the 8-week follow-up period. There was no difference in immobilization characteristics between the patients who developed postoperative DVT and those who did not; nor could other risk factors be identified. INTERPRETATION: Since the incidence of VTE is low and a specific high-risk group for the development of VTE could not be identified, it seems justified to withhold routine pharmacological thromboprophylaxis after arthroscopy of the knee in a daycare setting.
Authors: K F Mauck; D A Froehling; P R Daniels; D L Dahm; A A Ashrani; D J Crusan; T M Petterson; K R Bailey; J A Heit Journal: J Thromb Haemost Date: 2013-07 Impact factor: 5.824
Authors: Darius Luke Lameire; Hassaan Abdel Khalik; Mark Phillips; Austin Edward MacDonald; Laura Banfield; Darren de Sa; Olufemi R Ayeni; Devin Peterson Journal: Knee Surg Sports Traumatol Arthrosc Date: 2022-02-03 Impact factor: 4.342
Authors: Harmen B Ettema; Marieke C Mulder; Michael T Nurmohamed; Harry R Büller; Cees C P M Verheyen Journal: Acta Orthop Date: 2009-02 Impact factor: 3.717