Value of thromboembolic prophylaxis in prevention of the thromboembolism in orthopedic surgery and traumatology
In the period between March 1, 2003 to June 1, 2003 at the Clinic of Orthopaedic Surgery and Traumatology, we treated 174 patients with injured or diseased extremities. An average age was 46,95 years (27-81). We treated 33 patients (18,9%) nonoperatively and 141 patients (81,1%) operatively. Preoperative and postoperative thromboembolic profilaxis (TEP) with low molecular heparin was registered in 50 patients (28,9%). In the first 10 days, 12 (9,2%) patients without TEP had signs of thromboembolism, 2 patients died in the first 10 days with the signs of thromboembolism. In the control group, in the period between March 1, 2005 to June 1, 2005 at the Clinic of Orthopaedic Surgery and Traumatology, we treated 162 patients with injured or diseased extremities. The average age was 47,2 years (17-82). We treated 29 patients nonoperatively (17,9%) and 133 patients (82,1%) operatively. All patients had preoperative and postoperative thromboembolic profilaxis (TEP) with low molecular heparin. In the first 10 days, 5 (3%) patients had signs of thromboembolism. None of the patients from control group died. Our results showed that TEP in orthopaedic surgery and traumatology is necessary.