The Journal of Arthroplasty
Volume 23, Issue 8 , Pages 1122-1127 , December 2008

Portable Compression Device and Low-Molecular-Weight Heparin Compared With Low-Molecular-Weight Heparin for Thromboprophylaxis After Total Joint Arthroplasty

  • John Z. Edwards, MD

      Affiliations

    • Gem City Bone and Joint, Laramie, Wyoming
    • ,
  • Pamela A. Pulido, BSN

      Affiliations

    • Shiley Center for Orthopaedic Research and Education at Scripps Clinic, La Jolla, California
    • ,
  • Kace A. Ezzet, MD

      Affiliations

    • Division of Orthopaedic Surgery, Scripps Clinic, La Jolla, California
    • ,
  • Steven N. Copp, MD

      Affiliations

    • Division of Orthopaedic Surgery, Scripps Clinic, La Jolla, California
    • ,
  • Richard H. Walker, MD

      Affiliations

    • Division of Orthopaedic Surgery, Scripps Clinic, La Jolla, California
    • ,
  • Clifford W. Colwell Jr, MD

      Affiliations

    • Shiley Center for Orthopaedic Research and Education at Scripps Clinic, La Jolla, California
    • Division of Orthopaedic Surgery, Scripps Clinic, La Jolla, California
    • Corresponding Author InformationReprint requests: Clifford W. Colwell Jr, MD, Shiley Center for Orthopaedic Research and Education at Scripps Clinic, 11025 North Torrey Pines Road, Suite 140, La Jolla, CA 92037.

Received 18 April 2007 ,Accepted 15 November 2007.

References 

  1. Prevention of venous thrombosis and pulmonary embolism. NIH Consensus Development. JAMA. 1986;256:744
  2. Johnson R, Carmichael JH, Almond HG, et al. Deep venous thrombosis following Charnley arthroplasty. Clin Orthop Relat Res. 1978;24
  3. McKenna R, Bachmann F, Kaushal SP, et al. Thromboembolic disease in patients undergoing total knee replacement. J Bone Joint Surg Am. 1976;58:928
  4. Westrich GH, Rana AJ. Prevention and treatment of thromboembolic disease: an overview. Tech Orthop. 2001;16:279
  5. Sculco TP, Bottner F. Current concepts of nonpharmacologic thromboembolic prophylaxis. Instr Course Lect. 2002;51:481
  6. Vanhoutte PM, Boulanger CM, Mombouli JV. Endothelium-derived relaxing factors and converting enzyme inhibition. Am J Cardiol. 1995;76:3E
  7. DiGiovanni CW, Restrepo A, Gonzalez DV, et al. The safety and efficacy of intraoperative heparin in total hip arthroplasty. Clin Orthop Relat Res. 2000;178
  8. Allenby F, Boardman L, Pflug JJ, et al. Effects of external pneumatic intermittent compression on fibrinolysis in man. Lancet. 1973;2:1412
  9. McGrory BJ, Burke DW. Peroneal nerve palsy following intermittent sequential pneumatic compression. Orthopedics. 2000;23:1103
  10. Lachmann EA, Rook JL, Tunkel R, et al. Complications associated with intermittent pneumatic compression. Arch Phys Med Rehabil. 1992;73:482
  11. Colwell CW, Spiro TE. Efficacy and safety of enoxaparin to prevent deep vein thrombosis after hip arthroplasty. Clin Orthop. 1995;215
  12. Leclerc JR, Geerts WH, Desjardins L, et al. Prevention of deep vein thrombosis after major knee surgery—a randomized, double-blind trial comparing a low molecular weight heparin fragment (enoxaparin) to placebo. Thromb Haemost. 1992;67:417
  13. Westrich GH, Jhon PH, Sanchez PM. Compliance in using a pneumatic compression device after total knee arthroplasty. Am J Orthop. 2003;32:135
  14. Grady-Benson JC, Oishi CS, Hanson PB, et al. Routine postoperative duplex ultrasonography screening and monitoring for the detection of deep vein thrombosis. A survey of 110 total hip arthroplasties. Clin Orthop Relat Res. 1994;130
  15. Gelfer Y, Tavor H, Oron A, et al. Deep vein thrombosis prevention in joint arthroplasties: continuous enhanced circulation therapy vs low molecular weight heparin. J Arthroplasty. 2006;21:206
  16. Gelfer Y, Tavor H, Oron A, et al. Deep vein thrombosis prevention in joint arthroplasties: continuous enhanced circulation therapy vs low molecular weight heparin. J Arthroplasty. 2006;21:206
  17. Paiement G, Wessinger SJ, Waltman AC, et al. Low-dose warfarin versus external pneumatic compression for prophylaxis against venous thromboembolism following total hip replacement. J Arthroplasty. 1987;2:23
  18. Bailey JP, Kruger MP, Solano FX, et al. Prospective randomized trial of sequential compression devices vs low-dose warfarin for deep venous thrombosis prophylaxis in total hip arthroplasty. J Arthroplasty. 1991;6(Suppl):S29
  19. Warwick D, Harrison J, Glew D, et al. Comparison of the use of a foot pump with the use of low-molecular-weight heparin for the prevention of deep-vein thrombosis after total hip replacement. A prospective, randomized trial. J Bone Joint Surg Am. 1998;80:1158
  20. Pitto RP, Hamer H, Heiss-Dunlop W, et al. Mechanical prophylaxis of deep-vein thrombosis after total hip replacement: a randomised clinical trial. J Bone Joint Surg Br. 2004;86:639
  21. Westrich GH, Bottner F, Windsor RE, et al. VenaFlow plus Lovenox vs VenaFlow plus aspirin for thromboembolic disease prophylaxis in total knee arthroplasty. J Arthroplasty. 2006;21:139
  22. Haas SB, Insall JN, Scuderi GR, et al. Pneumatic sequential-compression boots compared with aspirin prophylaxis of deep-vein thrombosis after total knee arthroplasty. J Bone Joint Surg Am. 1990;72:27
  23. Westrich GH, Haas SB, Mosca P, et al. Meta-analysis of thromboembolic prophylaxis after total knee arthroplasty. J Bone Joint Surg Br. 2000;82:795
  24. Murakami M, McDill TL, Cindrick-Pounds L, et al. Deep venous thrombosis prophylaxis in trauma: improved compliance with a novel miniaturized pneumatic compression device. J Vasc Surg. 2003;38:923
  25. Westrich GH, Sculco TP. Prophylaxis against deep venous thrombosis after total knee arthroplasty. Pneumatic plantar compression and aspirin compared with aspirin alone. J Bone Joint Surg Am. 1996;78:826

 Benefits or funds were received in partial or total support of the research material described in this article. These benefits or funds were received from Medical Compression ActiveCare DVT, Medical Compression Systems, Or Akiva, Israel.

PII: S0883-5403(07)00645-6

doi: 10.1016/j.arth.2007.11.006

The Journal of Arthroplasty
Volume 23, Issue 8 , Pages 1122-1127 , December 2008

Article Tools

* Image Usage & Resolution