Hardy Mark A
Cleveland Clinic Foundation-Kaiser Permanente Foundation, 10 Severance Circle, Cleveland Heights, OH 44118, USA.
Foot Ankle Spec. 2011 Apr;4(2):120-3. doi: 10.1177/1938640010395876. Epub 2011 Feb 28.
The majority of orthopaedic venous thromboembolism (VTE) literature involves major orthopaedic surgery, which has distinct differences in comparison with foot and ankle surgery. Despite the current evidence-based medicine advocating against routine prophylaxis, confusion remains around who should be prophylaxed and with what modality. Clearly, larger prospective studies are needed to determine those individuals who require prophylaxis for the prevention of venous thromboembolic events following foot and ankle surgery.
大多数骨科静脉血栓栓塞(VTE)文献都涉及大型骨科手术,这与足踝手术相比有明显差异。尽管目前循证医学主张不进行常规预防,但对于哪些人应该接受预防以及采用何种方式预防仍存在困惑。显然,需要开展更大规模的前瞻性研究,以确定那些在足踝手术后需要预防静脉血栓栓塞事件的个体。