Prophylactic use of LMWH plus intermittent pneumatic compression prevented DVT in hip or knee arthroplastyPrevention of deep-vein thrombosis after total hip and knee replacement. Low-molecular-weight heparin in combination with intermittent pneumatic compression.

Eikelboom, John W MD (commentator)
Silbersack, Y
Taute, BM
Hein, W
et al,

McMaster University Hamilton, Ontario, Canada

Silbersack Y, Taute BM, Hein W, et al. Prevention of deep-vein thrombosis after total hip and knee replacement. Low-molecular-weight heparin in combination with intermittent pneumatic compression. J Bone Joint Surg Br 2004; 86: 809–12.SilbersackYTauteBMHeinWet alPrevention of deep-vein thrombosis after total hip and knee replacement. Low-molecular-weight heparin in combination with intermittent pneumatic compression.J Bone Joint Surg Br200486809-12Q In patients receiving primary unilateral total hip or total knee replacement surgery, is prophylactic use of low molecular weight heparin (LMWH) plus intermittent pneumatic compression more effective than LMWH plus graduated compression stockings for reducing deep venous thrombosis (DVT)?

For correspondence: Dr Y Silbersack, Martin Luther University, Halle/Salle, Germany

Source of funding: Aircast Europa GmbH.

Evidence Based Medicine 10(2):p 48, April 2005.

Clinical impact ratings IM/Ambulatory care ★★★★★★☆ Internal medicine ★★★★★★☆ Surgery ★★★★★☆☆ Haematology ★★★★☆☆☆