Venous Thrombosis After Hallux Valgus Surgery

Radl, Roman; Kastner, Norbert; Aigner, Christian; Portugaller, Horst; Schreyer, H; Windhager, Reinhard

doi:10.2106/00004623-200307000-00004

Cited by 53 publications

(38 citation statements)

References 34 publications

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“…Postoperative thromboembolism is a complication that may occur after HV surgery. 19 However, based on our previous data, occurrence of this particular complication is less than in 1% of cases, thus does not require routine antithrombotic prophylaxis. Since both MO and CO were previously applied regardless of degree of primary HV angle it was decided to include in this trial patients with both mild and moderate deformity.…”

Section: Discussionmentioning

confidence: 85%

Prospective Randomized Study of Chevron Osteotomy Versus Mitchell’s Osteotomy in Hallux Valgus

Buciuto

2014

Foot Ankle Int.

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Section: Discussionmentioning

confidence: 85%

Prospective Randomized Study of Chevron Osteotomy Versus Mitchell’s Osteotomy in Hallux Valgus

Buciuto

2014

Foot Ankle Int.

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“…Milic et al (44) reported that PT and aPTT were similar in patients with and without DVT after cholecystectomy. In a study of 100 patients who were not receiving pharmacologic DVT prophylaxis before hallux valgus surgery, no differences in PT and aPTT were observed when comparing patients with and without postoperative DVT ( P values were .14 and .29, respectively) (45). …”

Section: Discussionmentioning

confidence: 99%

Thromboelastography as a Better Indicator of Hypercoagulable State After Injury Than Prothrombin Time or Activated Partial Thromboplastin Time

Park

Martini

Dubick

et al. 2009

Journal of Trauma: Injury, Infection &Amp; Critical Care

274

233

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Objectives To investigate the hemostatic status of critically ill, nonbleeding trauma patients. We hypothesized that a hypercoagulable state exists in patients early after severe injury and that the pattern of clotting and fibrinolysis are similar between burned and nonburn trauma patients. Materials and Methods Patients admitted to the surgical or burn intensive care unit within 24 hours after injury were enrolled. Blood samples were drawn on days 0 through 7. Laboratory tests included prothrombin time (PT), activated partial thromboplastin time (aPTT), levels of activated factor XI (FXIa), D-dimer, protein C percent activity, and antithrombin III (AT III) percent activity, and thromboelastography (TEG). Results Study subjects were enrolled from April 1, 2004, through May 31, 2005, and included nonburn trauma patients (n=33), burned patients (n=25), and healthy (control) subjects (n=20). Despite aggressive thromboprophylaxis, 3 subjects (2 burned and 1 nonburn trauma patients [6%]) had pulmonary embolism during hospitalization. Compared with controls, all patients had prolonged PT and aPTT (P<.05). The rate of clot formation (α angle) and maximal clot strength were higher for patients compared with controls (P<.05), indicating a hypercoagulable state. Injured patients also had lower protein C and AT III percent activities and higher fibrinogen levels (P<.05 for all). FXIa was elevated in 38% of patients (control subjects had undetectable levels). Discussion TEG analysis of whole blood showed patients were in a hypercoagulable state; this was not detected by plasma PT or aPTT. The high incidence of pulmonary embolism indicated that our current prophylaxis regimen could be improved.

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“…6,[17][18][19][20][21][22][23][24][25][26] One of the largest and earliest multicenter studies on foot and ankle surgery VTE events reported an incidence of 0.22% and 0.15% for DVT and PE, respectively, in more than 2700 patients. 17 However, this study only detected symptomatic VTE events, and there was no standard for thromboprophylaxis.…”

Section: Review Of the Incidence Of Vte In Foot And Ankle Surgerymentioning

confidence: 99%

“…21 Finally, several studies have reported the incidence of VTE events correlated with a surgical procedure in the foot or ankle. [22][23][24][25][26] Radl and colleagues,22 in 2003, reported a DVT rate of 4% following 100 consecutive bunion surgeries. More recently, a DVT rate of 0.43% and PE rate of 0.34% was found in 1172 patients with complete ruptures of the Achilles tendon.…”

Section: Review Of the Incidence Of Vte In Foot And Ankle Surgerymentioning

confidence: 99%

Venous Thromboembolism and Foot and Ankle Surgery

Hentges

Peterson

Catanzariti

et al. 2012

Foot & Ankle Specialist

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Significant patient morbidity and mortality is associated with the development of venous thromboembolism (VTE) following orthopedic surgery. The majority of the literature supports proper prophylaxis following major orthopedic surgery involving hip and knee procedures. Foot and ankle surgery, however, is starkly contrasted because of the lack of recommendations. This article provides a comprehensive overview of the risk factors and incidence of VTE in foot and ankle surgery while also outlining the newest literature guidelines for prophylaxis.

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Venous Thrombosis After Hallux Valgus Surgery

Cited by 53 publications

References 34 publications

Prospective Randomized Study of Chevron Osteotomy Versus Mitchell’s Osteotomy in Hallux Valgus

Prospective Randomized Study of Chevron Osteotomy Versus Mitchell’s Osteotomy in Hallux Valgus

Thromboelastography as a Better Indicator of Hypercoagulable State After Injury Than Prothrombin Time or Activated Partial Thromboplastin Time

Venous Thromboembolism and Foot and Ankle Surgery

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