ArticleArchives of orthopaedic and trauma surgery2021
Rate of venous thromboembolism after surgical treatment of proximal humerus fractures.
Article in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Incidence, characteristics, and risk factors of venous thromboembolism in shoulder arthroplasty-a systematic review.International orthopaedics · 2022Pooled it
- Article
- Pulmonary embolism after shoulder surgery: Is it a real threat?World journal of methodology · 2025Review
- A Case Report of Trauma-induced Coagulopathy in the Setting of an Isolated Humeral Shaft Fracture.Journal of orthopaedic case reports · 2024Article
- Beyond the fractures: A comprehensive Comparative analysis of Affordable and Accessible laboratory parameters and their coefficients for prediction and Swift confirmation of pulmonary embolism in high-risk orthopedic patients.Practical laboratory medicine · 2024Article
- Venous thromboembolism following surgical management of proximal humerus fractures: a systematic review.JSES reviews, reports, and techniques · 2023Review
- Is Routine Screening Using Duplex Ultrasonography for Deep Vein Thrombosis Necessary after Shoulder Arthroplasty?Diagnostics (Basel, Switzerland) · 2023Article
- Preoperative coagulation biomarkers associate with survival and pulmonary embolism after surgical treatment of non-spinal skeletal metastases.Thrombosis journal · 2022Article
- Renal disease is a risk factor for complications and mortality after open reduction internal fixation of proximal humerus fractures.JSES international · 2022Article
- Risk factors for venous thromboembolism following fractures isolated to the foot and ankle fracture.PloS one · 2022Article
- The Surgical Treatment of Proximal Humeral Fractures in Elderly Patients.Deutsches Arzteblatt international · 2021Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe rate of venous thromboembolism following surgical treatment of proximal humerus fractures is not well established.
methodsA retrospective review of all patients undergoing surgical treatment for proximal humerus fractures from September 2011 to May 2017 was performed. Included patients received only mechanoprophylaxis using sequential compression devises. All patients had at least 6 months follow-up. The primary outcome of interest was the rate of postoperative DVT and PE.
results131 patients underwent 139 surgeries for proximal humerus fracture. After exclusion criteria were applied, 92 patients who underwent 92 surgeries were included. There were 47 females and 45 males. Five (5.4%) were taking Aspirin 81 mg preoperatively. There were 76 cases of open reduction and internal fixation (ORIF), 8 cases of reverse total shoulder arthroplasty, 4 cases of hemiarthroplasty, 3 cases of closed reduction percutaneous pinning (CRPP), 1 case of open reduction without fixation. 53.3% of patients had one or more risk factors for VTE. There were no cases of fatal PE or DVT. There were two cases of symptomatic PE (2.2%) following one ORIF and one CRPP. There was one additional case of asymptomatic PE found incidentally after ORIF. Overall VTE rate was 3.3%. Fisher's exact test yielded that there was no significant association between the presence of VTE risk factors and prevalence of VTE postoperatively (p = 0.245).
conclusionsThe incidence of symptomatic VTE after surgery for proximal humerus fractures is low. Chemical VTE prophylaxis in patients after surgical fixation for proximal humerus fractures is not universally indicated. Selective prophylaxis for patients with systemic risk factors may be warranted.
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