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Table 3 Other measures reportedly used by surgeons to minimise VTE risk (N = 340)

From: Comparing Australian orthopaedic surgeons’ reported use of thromboprophylaxis following arthroplasty in 2012 and 2017

Measure

Frequency (%)

Pre-surgery

 Prescribes exercise, weight loss, hydro and/or physiotherapy, and requires patients be smoke-free for 6 weeks prior to surgery

4 (1.2)

 Avoids patients on HRT or ceases it pre-surgery

4 (1.2)

 Admits patients on day of surgery

3 (0.9)

During surgery

 Regional anaesthesia

41 (12.1)

 Avoids/minimises tourniquet use

24 (7.1)

 Intra-articular anaesthesia

11 (3.2)

 Intraoperative mechanical prophylaxis

9 (2.6)

 Ensures minimal operation times

3 (0.9)

 Intraoperative heparin

2 (0.6)

 Avoids bilateral operations

1 (0.3)

 Inferior vena cava filter (with warfarin) in high risk patients

1 (0.3)

Post-surgery

 Early mobilisation

311 (91.5)

 Hydration

23 (6.8)

 Ankle and bed exercises

20 (5.9)

 Limb elevation

9 (2.6)

 Early hospital discharge

3 (0.9)

 Ensures ‘good’ postoperative analgesia

2 (0.6)