• Arch Orthop Trauma Surg · Sep 2023

    Venous thromboembolism is rare after total hip and knee joint arthroplasty with long thromboprophylaxis in Finnish fast-track hospitals.

    • Annette M Moisander, Konsta Pamilo, Antti Eskelinen, Jukka Huopio, Hannu Kautiainen, Anne Kuitunen, and Juha Paloneva.
    • Department of Anesthesia and Intensive Care, Hospital Nova, Wellbeing Services County of Central Finland, Jyväskylä, Finland. annette.moisander@hyvaks.fi.
    • Arch Orthop Trauma Surg. 2023 Sep 1; 143 (9): 562356295623-5629.

    IntroductionPharmacological thromboprophylaxis effectively prevents venous thromboembolism (VTE) after total knee (TKA) and total hip arthroplasty (THA). Less is known about the influence of fast-track arthroplasty on VTE risk. We conducted a register-based study to determine the incidence of VTE after fast-track TKA and THA in Finland using long thromboprophylaxis.Materials And MethodsAll primary TKAs and THAs operated during 2015-2016 in 3 fast-track hospitals were identified from the Finnish Arthroplasty Register. Pulmonary embolism (PE) and deep vein thrombosis (DVT) diagnosed in this patient cohort within 90 days of surgery were identified from the Finnish Hospital Discharge Register. The recommended length of thromboprophylaxis was 10 to 14 days for TKA and 28 days for THA during study period.ResultsDuring the study period, 3 831 THAs, 4 394 TKAs and 286 bilateral TKAs (BTKAs) were performed. Of all these patients, 60% were females. Venous thromboembolism (VTE) incidence within 90 days of surgery was 0.3% (95% CI 0.2-0.4). These VTEs comprised 10 PEs and 15 DVTs. None of the VTE patients´ died within the 90-day period.ConclusionVTE incidence is low in Finnish fast-track TKA and THA patients with long thromboprophylaxis.© 2023. The Author(s).

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