RESEARCH ARTICLE


Methods and Guidelines for Venous Thromboembolism Prevention in Polytrauma Patients with Pelvic and Acetabular Fractures



Francisco Chana-Rodríguez*, Rubén Pérez Mañanes, José Rojo-Manaute, José Antonio Calvo Haro , Javier Vaquero-Martín
Department of Traumatology and Orthopaedic Surgery, General University Hospital Gregorio Marañón, Madrid, Spain


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© Chana-Rodríguez et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the C/ de la Cañada, Nº 4, 6º A, 28030, Madrid, Spain; Tel: 0034649407936; Fax: 0034915868425; E-mail: chanaphd@yahoo.es


Abstract

Sequential compression devices and chemical prophylaxis are the standard venous thromboembolism (VTE) prevention for trauma patients with acetabular and pelvic fractures. Current chemical pharmacological contemplates the use of heparins or fondaparinux. Other anticoagulants include coumarins and aspirin, however these oral agents can be challenging to administer and may need monitoring. When contraindications to anticoagulation in high-risk patients are present, prophylactic inferior vena cava filters can be an option to prevent pulmonary emboli. Unfortunately strong evidence about the most effective method, and the timing of their commencement, in patients with pelvic and acetabular fractures remains controversial.

Keywords: Acetabular, fracture, pelvic, prophylaxis, thromboembolism, trauma.