Thromboembolic disease after foot and ankle surgery

Sarah S. Hanslow*, Les Grujic, Henry K. Slater, Darren Chen

*Corresponding author for this work

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

Background: The incidence and potential life-threatening complications of thromboembolic disease after major orthopaedic surgery has been extensively studied. However, there are two studies pertaining to the incidence of thromboembolic disease after foot and ankle surgery, the findings of which suggest that the incidence is too low to justify routine thromboprophylaxis. Methods: This is a retrospective study identifying the incidence of thromboembolic disease after foot and ankle surgery in the practices of two foot and ankle specialists. The purpose of the study was to evaluate the risk factors for the development of thromboembolic disease and to examine the issue of routine thromboprophylaxis. Six hundred and two patients were included in this study. Results: There was a 4% incidence (24 patients) of postoperative thromboembolic complications. Risk factors identified for postoperative thromboembolic disease were a history of rheumatoid arthritis, a recent history of air travel, previous deep vein thrombosis or pulmonary embolism, and limb immobilization. Conclusions: The incidence of thromboembolic disease after foot and ankle surgery could be higher than that previously reported particularly if a patient has certain risk factors. Prospective randomized clinical trials are needed to establish the true incidence of thromboembolic disease after foot and ankle surgery and to define the indications for routine thromboprophylaxis.

Original languageEnglish
Pages (from-to)693-695
Number of pages3
JournalFoot and Ankle International
Volume27
Issue number9
Publication statusPublished - Sep 2006
Externally publishedYes

Keywords

  • Foot and Ankle Surgery
  • Prophylaxis
  • Thromboembolic Disease

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    Hanslow, S. S., Grujic, L., Slater, H. K., & Chen, D. (2006). Thromboembolic disease after foot and ankle surgery. Foot and Ankle International, 27(9), 693-695.