Deep Vein Thrombosis Prophylaxis in Orthopedic Surgery.

Abstract

Deep vein thrombosis (DVT) is a complex and multifactorial process arising from a variety of factors, including recent surgical procedures, traumatic events, and periods of prolonged immobility. The extended period of stasis post-orthopedic surgery places patients at a notably high risk of developing DVT, and DVT-related pulmonary embolism (PE) ranks as the third most common cause of death in orthopedic surgery patients. This review examines the multifaceted risk factors contributing to the development of DVT in orthopedic patients. Additionally, it addressesthe importance of DVT prophylaxis in orthopedic settings,the efficacy and safety of various prophylactic methodsencompassing both mechanical and pharmacological approaches, andthe economic dimensions of DVT prophylaxis, including scrutiny of cost-effectiveness and the exploration of strategies for optimization.