Anticoagulants not effective at preventing major VTE following knee arthroscopy .
The effect of anticoagulants on venous thrombosis prevention after knee arthroscopy: a systematic review
Int Orthop. 2019;43(10):2303-2308. 10.1007/s00264-018-4212-4The use of anticoagulants for lower limb outpatient procedures such as knee arthroscopy is varied, and questions remain. The authors performed a meta-analysis of nine randomized controlled trials. The interventions included low molecular weight heparin (LMWH), Rivaroxaban, and acetylsalicylic acid (ASA), and comparators included no treatment, placebo, and compression stockings. A total of 4290 patients were included. Overall, they found no significant difference between pharmacologic interventions and controls in terms of symptomatic venous thromboembolism (excluding distal deep vein thrombosis (DVT)). There were significantly fewer symptomatic distal DVTs in the treatment group. Overall, the authors found no evidence to support the routine use of anticoagulants in knee arthroscopy.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
0 of 4 monthly FREE articles unlocked
