Current UK opinion on thromboprophylaxis in orthopaedic surgery: its use in routine total hip and knee arthroplasty

Ann R Coll Surg Engl. 1995 Sep;77(5):351-4.

Abstract

We surveyed all surgically qualified members of the British Orthopaedic Association as to their views on thromboprophylaxis in routine total hip and knee replacement. The response rate was 92%. In total hip replacement, 13-15% of surgeons used no method of prophylaxis at all, 18-22% did not use a mechanical method of prophylaxis, while 26% did not use a pharamacological agent; 36% believed low-dose anticoagulant thromboprophylaxis to be a medicolegal necessity while 47% disagreed with this. In total knee replacement, 18-33% of surgeons used no method of prophylaxis at all, 20-26% did not use a mechanical method of prophylaxis, while 54-58% did not use a pharmacological agent; 12 believed low-dose anticoagulant thromboprophylaxis to be a medicolegal necessity, while 64% disagreed with this. We conclude that mechanical methods remain a popular method of thromboprophylaxis and pharmacological methods, while commonly used, are not seen as a medicolegal requirement in lower limb arthroplasty and are used less often in total knee replacement.

MeSH terms

  • Anticoagulants / administration & dosage
  • Attitude of Health Personnel
  • Drug Utilization / legislation & jurisprudence
  • Hip Prosthesis*
  • Humans
  • Knee Prosthesis*
  • Postoperative Complications / prevention & control*
  • Practice Patterns, Physicians' / statistics & numerical data*
  • Thromboembolism / prevention & control*
  • United Kingdom

Substances

  • Anticoagulants