Thromboembolism after foot and ankle surgery: A multicenter study

Mark S. Mizel, H. Thomas Temple, James D. Michelson, Richard G. Alvarez, Thomas O. Clanton, Carol C. Frey, Alan P. Gegenheimer, Shepard R. Hurwitz, Lowell D. Lutter, Martin G. Mankey, Roger A. Mann, Richard A. Miller, E. Greer Richardson, Lew C. Schon, Francesca M. Thompson, Marilyn L. Yodlowski

Research output: Contribution to journalArticle

94 Citations (Scopus)

Abstract

Thromboembolic disease presents a potentially fatal complication to patients undergoing orthopaedic surgery. Although the incidence after hip and knee surgery has been studied and documented, its incidence after surgery of the foot and ankle is unknown. For this reason, a prospective multicenter study was undertaken to identify patients with clinically evident thromboembolic disease to evaluate potential risk factors. Two thousand seven hundred thirty-three patients were evaluated for preoperative risk factors and postoperative thromboembolic events. There were six clinically significant thromboembolic events, including four nonfatal pulmonary emboli, after foot and ankle surgery. The incidence of deep vein thrombosis was six of 2733 (0.22%) and that of nonfatal pulmonary emboli was four of 2733 (0.15%). Factors found to correlate with an increased incidence of deep vein thrombosis were nonweightbearing status and immobilization after surgery. On the basis of these results, routine prophylaxis for thromboembolic disease after foot and ankle surgery probably is not warranted.

Original languageEnglish
Pages (from-to)180-185
Number of pages6
JournalClinical Orthopaedics and Related Research
Issue number348
StatePublished - Mar 1 1998
Externally publishedYes

Fingerprint

Thromboembolism
Ankle
Multicenter Studies
Foot
Incidence
Embolism
Venous Thrombosis
Foot Diseases
Lung
Immobilization
Orthopedics
Hip
Knee
Prospective Studies

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Mizel, M. S., Thomas Temple, H., Michelson, J. D., Alvarez, R. G., Clanton, T. O., Frey, C. C., ... Yodlowski, M. L. (1998). Thromboembolism after foot and ankle surgery: A multicenter study. Clinical Orthopaedics and Related Research, (348), 180-185.

Thromboembolism after foot and ankle surgery : A multicenter study. / Mizel, Mark S.; Thomas Temple, H.; Michelson, James D.; Alvarez, Richard G.; Clanton, Thomas O.; Frey, Carol C.; Gegenheimer, Alan P.; Hurwitz, Shepard R.; Lutter, Lowell D.; Mankey, Martin G.; Mann, Roger A.; Miller, Richard A.; Richardson, E. Greer; Schon, Lew C.; Thompson, Francesca M.; Yodlowski, Marilyn L.

In: Clinical Orthopaedics and Related Research, No. 348, 01.03.1998, p. 180-185.

Research output: Contribution to journalArticle

Mizel, MS, Thomas Temple, H, Michelson, JD, Alvarez, RG, Clanton, TO, Frey, CC, Gegenheimer, AP, Hurwitz, SR, Lutter, LD, Mankey, MG, Mann, RA, Miller, RA, Richardson, EG, Schon, LC, Thompson, FM & Yodlowski, ML 1998, 'Thromboembolism after foot and ankle surgery: A multicenter study', Clinical Orthopaedics and Related Research, no. 348, pp. 180-185.
Mizel MS, Thomas Temple H, Michelson JD, Alvarez RG, Clanton TO, Frey CC et al. Thromboembolism after foot and ankle surgery: A multicenter study. Clinical Orthopaedics and Related Research. 1998 Mar 1;(348):180-185.
Mizel, Mark S. ; Thomas Temple, H. ; Michelson, James D. ; Alvarez, Richard G. ; Clanton, Thomas O. ; Frey, Carol C. ; Gegenheimer, Alan P. ; Hurwitz, Shepard R. ; Lutter, Lowell D. ; Mankey, Martin G. ; Mann, Roger A. ; Miller, Richard A. ; Richardson, E. Greer ; Schon, Lew C. ; Thompson, Francesca M. ; Yodlowski, Marilyn L. / Thromboembolism after foot and ankle surgery : A multicenter study. In: Clinical Orthopaedics and Related Research. 1998 ; No. 348. pp. 180-185.
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