According to a study conducted in Norway and published online in the journal Clinical Orthopaedics and Related Research, risk of postoperative complication may be comparable whether low-molecular-weight heparin (LMWH) prophylaxis is initiated prior to or following total hip arthroplasty (THA). 

The authors reviewed data on 25,163 patients undergoing THA who were included in the Norwegian Arthroplasty Register and the Norwegian National Patient Register. Overall, 9,977 patients (40 percent) received preoperative LMWH and 15,186 patients (60 percent) received postoperative LMWH. After adjustment for age, sex, operation time, year of surgery, and American Society of Anesthesiologists class, the authors found no major differences across cohorts in bleeding event, thromboembolic episodes, other postoperative clinical complications, 6-month mortality, or readmission rate. The authors noted that the postoperative approach reduced costs, decreased risks related to neuraxial anesthesia, and facilitated same-day admissions. Learn more...

Submit Community Content

If you have orthopedic information that you would like to share with the Orthogate Community, please register/login and submit your news, event, job, article, case or workshop from the Submit Content menu under the My Account area. Learn more!