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dc.contributor.authorKukadia, Jogisha
dc.contributor.authorBevington, Laura
dc.contributor.authorMulay, Sanjay
dc.date.accessioned2017-12-29T15:38:48Z
dc.date.available2017-12-29T15:38:48Z
dc.date.issued2015-06
dc.identifier.citationEuropean Surgical Research; Jun 2015; vol. 55 ; p. 155en
dc.identifier.urihttp://hdl.handle.net/20.500.12904/1052
dc.description.abstractVenous thromboembolism has become increasingly important in surgical patients. Whilst there has been research into the efficacy of VTE prophylaxis in ankle fracture surgery, there is little conclusive evidence or guidelines as a result. With immobility and lower limb surgery being important risk factors for VTE events, it is not unreasonable that guidance should be provided. We aim to establish our current practice and baseline risk in this type of surgery to provide recommendations. Patients and Methods: A total of 124 patients with ankle fracture fixations between 2012-2014 were included in our retrospective study. Data was collected on patient demographics including risk factors, thromboprophylaxis during admission and on discharge and VTE events. Results: 76% of patients had enoxaparin during admission. 48% and 14% were discharged with aspirin and enoxaparin respectively. The remaining had no prophylaxis during admission or discharge. Despite receiving admission and discharge prophylaxis 3 patients suffered VTE events, one patient developed deep vein thrombosis (discharged on aspirin) and two patients developed pulmonary embolisms (one discharged on aspirin and the other 6 weeks of enoxaparin as they were high risk). Conclusion: Like other studies, our results suggest aspirin has limited efficacy in preventing VTE events. We suggest individualised VTE assessment to identify high risk patients that may benefit from warfarin rather than standard local regimes. Although small, our study highlights the need for larger studies to provide definitive guidance on prophylaxis in ankle fracture surgery, as individual patient risk remains unchanged upon discharge.en
dc.language.isoenen
dc.subjectProphylaxisen
dc.subjectAnkleen
dc.subjectFractureen
dc.subjectDVTen
dc.subjectVTEen
dc.titleVTE prophylaxis in ankle fracture fixation: What should we be doing?en
dc.typeArticleen


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