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Journal of Long-Term Effects of Medical Implants

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v13.i4.60
16 pages

Thromboembolism Following Total Hip Replacement

Eduardo A. Salvati
Clinical Professor Orthopaedic Surgery; Director of Hip & Knee Service. Hospital for Special Surgery Weill Medical College of Cornell University 535 East 70th Street New York NY 10021
Alejandro Gonzalez Della Valle
Orthopaedic Fellow at The Hospital for Special Surgery, New York, New York; and Senior Clinical Associate in Orthopaedic Surgery at Weill Medical College of Cornell University, New York

ABSTRACT

Total hip replacement is an operation that is prone to thromboembolic complications, with potentially life-threatening consequences. However, the risk has declined substantially in the past three decades, reflecting advances in the understanding of the pathophysiology of thromboembolism and perioperative prophylaxis. The old concept of deciding thromboembolic prophylaxis after the completion of surgery is obsolete. In this review, we will concentrate on the main preventive measures that the medical and surgical team should implement prior to, during, and immediately after surgery.