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J Arthroplasty. 2014 May;29(5):900-2. doi: 10.1016/j.arth.2013.11.001. Epub 2013 Nov 8.

Are bilateral total joint arthroplasty patients at a higher risk of developing pulmonary embolism following total hip and knee surgery?

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  • 1Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York.

Abstract

Despite developments in prophylactic methods, venous thromboembolism (VTE) continues to be a serious complication following total joint arthroplasty. The new AAOS/ACCP guidelines on preventing pulmonary embolism (PE) after total hip/knee arthroplasty (THA/TKA) do not make specific recommendations for bilateral vs. unilateral procedures. In-patient PE rates were examined for patients undergoing unilateral or simultaneous bilateral TKA/THA at our institution in 2011. Of the 7,437 THA/TKA surgeries completed at our institution in 2011, 36 patients suffered from PE (0.48%). The rate of PE for unilateral TKA was 0.61% vs. 1.87% for bilateral (P < 0.001) and for unilateral THA was 0.17% vs. 0.52% for bilateral THA. Despite patients being screened before being cleared to undergo bilateral THA/TKA, they remain at higher risk for VTE.

Copyright © 2014 Elsevier Inc. All rights reserved.

KEYWORDS:

bilateral; pulmonary embolism; total hip arthroplasty; total knee arthroplasty; venous thromboembolism

PMID:
24360492
[PubMed - indexed for MEDLINE]
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