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Enoxaparin vs. Aspirin for Venous thromboembolism Prophylaxis After Hip and Knee Arthroplasty

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Ace Report Cover
March 2025

Enoxaparin vs. Aspirin for Venous thromboembolism Prophylaxis After Hip and Knee Arthroplasty

Vol: 307| Issue: 3| Number:83| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Aspirin or enoxaparin for VTE prophylaxis after primary partial, total or revision hip or knee arthroplasty: A secondary analysis from the CRISTAL cluster randomized trial.

PLoS One. 2024 Apr 16;19(4):e0298152.

Contributing Authors:
Investigators CRISTAL

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Synopsis

Twelve thousand three hundred eighty-four (12,384) patients undergoing hip or knee arthroplasty were randomized to receive either aspirin (100 mg daily) (n=7,238) or enoxaparin (40 mg daily) (n=5,146) for 35 days after hip arthroplasty and 14 days after knee arthroplasty. The primary outcome was symptomatic venous thromboembolism (VTE) within 90 days. Secondary outcomes included joint-related reop...

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