A Current Review of Mechanical Compression and Its Role in Venous Thromboembolic Prophylaxis in Total Knee and Total Hip Arthroplasty

作者：Pierce Todd P; Cherian Jeffrey J; Jauregui Julio J; Elmallah Randa K; Lieberman Jay R; Mont Michael A^*

来源：Journal of Arthroplasty, 2015, 30(12): 2279-2284.

DOI：10.1016/j.arth.2015.05.045

• venous thromboembolic prophylaxis
• mechanical compression prophylaxis
• guidelines
• complications
• mechanical compression devices

Interest in mechanical compression for venous thromboembolic disease prophylaxis has increased over the last several years because of concerns related to bleeding complications associated with chemoprophylaxis. However, the research evaluating compression is clearly not definitive. Therefore, this review aims to: (1) summarize methods of compression; (2) compare AAOS, ACCP, and SCIP guidelines; and (3) make recommendations regarding usage. Below-the-knee devices have demonstrated the most efficacy with multiple guidelines recommending usage. Efficacy and compliance may be improved with the use of mobile devices.

• 出版日期2015-12