ReviewJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2013
Evidence for treatment of muscular vein thrombosis in orthopaedic patients.
Review in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Effect of preoperative isolated muscular calf vein thrombosis on the safety and efficacy of open reduction and internal fixation for schatzker type II and III tibial plateau fractures.Frontiers in surgery · 2026Article
- Effect of an Elevated Preoperative International Normalized Ratio on Transfusion and Complications in Primary Total Hip Arthroplasty with the Enhanced Recovery after Surgery Protocol.Orthopaedic surgery · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDoes below-knee symptomatic muscular (gastrocnemius or soleus) vein thrombosis (MVT) warrant investigation and treatment in post-operative orthopaedic patients? We performed a literature search and evaluated the evidence looking for guidance regarding this question. MATERIALS AND
methodsWe performed a literature search with the use of PubMed, Medline and Google Scholar from 1950 to September 2011. Search terms included "muscular vein thrombosis" (MVT) and "isolated gastrocnemius or soleus vein thrombosis" (IGSVT). We reviewed the eight level II studies relevant to our search, only one of which was in a specific orthopaedic population.
resultsStudies looking at the rates of progression of isolated MVT have shown conflicting results. There is also a lack of consensus between studies that compare progression amongst groups with or without anticoagulant treatment. The majority of the studies do not distinguish between medical, surgical or orthopaedic patients.
conclusionsWe cannot confidently recommend commencement of anticoagulation treatment upon identification of MVT in post-operative orthopaedic patients. We can only suggest that, once MVT is diagnosed, the patient should undergo serial ultrasound scan (USS) duplex scans, and if propagation is identified, then treatment may be deemed beneficial. LEVEL OF EVIDENCE: III (review of non-randomized controlled cohort/follow-up studies).
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