Prevention and treatment of venous thromboembolic complications in orthopedic patients

Trofimov N.A.

Federal Center of Traumatology, Orthopedics and Endoprosthetics;
Ulyanov Chuvash State University;
Republican Cardiology Dispensary;
Institute of Advanced Training of Physicians;
Privolzhskiy Research Medical University

ORCID: 0000-0002-1975-5521

Nikolaev N.S.

Federal Center of Traumatology, Orthopedics and Endoprosthetics;
Ulyanov Chuvash State University;
Privolzhskiy Research Medical University

Babokin V.E.

Ulyanov Chuvash State University;
Republican Cardiology Dispensary;
Institute of Advanced Training of Physicians

Drandrov R.N.

Federal Center of Traumatology, Orthopedics and Endoprosthetics

Khripunov S.A.

Federal Center for Traumatology, Orthopedics and Arthroplasty

Nikolsky A.V.

Ulyanov Chuvash State University;
Institute of Advanced Training of Physicians;
Privolzhskiy Research Medical University

Edkov A.V.

Federal Center of Traumatology, Orthopedics and Endoprosthetics

Fedorov S.A.

Ulyanov Chuvash State University;
Privolzhskiy Research Medical University

ORCID: 0000-0002-5930-3941

Prevention and treatment of venous thromboembolic complications in orthopedic patients

Authors:

Trofimov N.A., Nikolaev N.S., Babokin V.E., Drandrov R.N., Khripunov S.A., Nikolsky A.V., Edkov A.V., Fedorov S.A.

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Journal: Pirogov Russian Journal of Surgery. 2024;(2): 52‑58

DOI: 10.17116/hirurgia202402152

Downloaded: 8

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To cite this article:

Trofimov NA, Nikolaev NS, Babokin VE, et al. . Prevention and treatment of venous thromboembolic complications in orthopedic patients. Pirogov Russian Journal of Surgery. 2024;(2):52‑58. (In Russ.)
https://doi.org/10.17116/hirurgia202402152

Подписка 2025 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To analyze the comprehensive program for prevention of thromboembolic complications in orthopedic patients.

MATERIAL AND METHODS

We have analyzed thromboembolic complications in orthopedic patients after surgeries on large joints over the past 5 years (2018—2022).

CONCLUSION

A comprehensive approach to prevention and treatment of thromboembolic complications including ultrasound, early surgical prevention of pulmonary embolism can significantly improve postoperative outcomes after joint replacement surgery. Vacuum aspiration retrograde thrombectomy is effective, feasible and safe for acute ilio-femoral venous thrombosis reducing hospital-stay (p=0.0124) and restoring vein patency. Widespread thromboembolic complications, especially for pulmonary embolism in 2022, are likely due to a new coronavirus infection and require careful screening of patients with risk factors with appropriate preventive antithrombotic therapy.

Keywords:

phlebothrombosis

joint replacement

thrombectomy

vein ultrasound

Authors:

Trofimov N.A.

ORCID: 0000-0002-1975-5521

Nikolaev N.S.

Federal Center of Traumatology, Orthopedics and Endoprosthetics;
Ulyanov Chuvash State University;
Privolzhskiy Research Medical University

Babokin V.E.

Ulyanov Chuvash State University;
Republican Cardiology Dispensary;
Institute of Advanced Training of Physicians

Drandrov R.N.

Federal Center of Traumatology, Orthopedics and Endoprosthetics

Khripunov S.A.

Federal Center for Traumatology, Orthopedics and Arthroplasty

Nikolsky A.V.

Ulyanov Chuvash State University;
Institute of Advanced Training of Physicians;
Privolzhskiy Research Medical University

Edkov A.V.

Federal Center of Traumatology, Orthopedics and Endoprosthetics

Fedorov S.A.

Ulyanov Chuvash State University;
Privolzhskiy Research Medical University

ORCID: 0000-0002-5930-3941

Received:

14.06.2023

Accepted:

07.07.2023

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