Incidence and risk factors for symptomatic venous thromboembolism following anterior cruciate ligament reconstruction

Abstract

Purpose To determine the incidence of symptomatic venous thromboembolism (VTE) following anterior cruciate ligament (ACL) reconstruction using a large national database and to identify corresponding independent risk factors. Methods The Humana administrative claims database was reviewed for patients undergoing ACL reconstruction from 2007 to 2017. Patient demographics, medical comorbidities, as well as concurrent procedures were recorded. Postoperative incidence of VTE was measured by identifying symptomatic deep vein thrombosis (DVT) and pulmonary embolism (PE) at 30 days, 90 days, and 1 year postoperatively. Univariate analysis and binary logistic regression were performed to determine independent risk factors for VTE following surgery. Results A total of 11,977 patients were included in the study. The incidence of VTE was 1.01% (n = 120) and 1.22% (n = 146) at 30 and 90 days, respectively. Analysis of VTE events within the irst postoperative year revealed that 69.6% and 84.3% of VTEs occurred within 30 and 90 days of surgery, respectively. Logistic regression identiied age ≥ 45 (odds ratio [

Aspirin is as effective as low molecular weight heparins in preventing symptomatic venous thromboembolism following arthroscopic anterior cruciate ligament reconstruction

“…While a bulk of evidence exists supporting the safety of a no-prophylaxis policy after simple knee arthroscopy procedures in low-risk patients [9,21,22], the need for thromboprophylaxis after ACLR is more accepted, even though there is little evidence on the comparative e cacy of different anticoagulants in this clinical situation [23].…”

Postoperative Anterior Cruciate Ligament Reconstruction Quadricep and Patella Tendon Rupture, Infection, and Lysis of Adhesions Decreased Despite Changing Graft Trends Over the Past Decade

“… 13 Surgeons should consider forgoing or limiting the use of tourniquet in patients who are high risk for postoperative DVT (those with obesity, diabetes, or those who are smokers). 14 , 15 …”

Anterior cruciate ligament tear increases the risk of venous thromboembolism: a population-based cohort study

“…The incidence of VTE following ACLR has been reported by many studies. The overall risk of VTE was generally deemed low but reports in the literature demonstrate a wide variability ranging from 0.3 to 17.9% [1, 2, 12, 17, 19, 21, 30, 33, 37, 45, 47]. Such a significant variation is likely due to the heterogeneity in the literature in terms of definition, detection, timing, demographics, concomitant surgery, and postoperative thromboprophylaxis [26].…”