SciELO - Scientific Electronic Library Online

vol.13 issue3The rise and fall of large bore metal-on-metal hip prosthesesThe management of chronic osteomyelitis: Part II - Principles of post-infective reconstruction and antibiotic therapy author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links

  • On index processCited by Google
  • On index processSimilars in Google


SA Orthopaedic Journal

On-line version ISSN 2309-8309
Print version ISSN 1681-150X


SARAGAS, NP; FERRAO, PNF; SARAGAS, E  and  JACOBSON, BF. Venous thromboembolic disease in hallux surgery. SA orthop. j. [online]. 2014, vol.13, n.3, pp.28-31. ISSN 2309-8309.

INTRODUCTION: Hallux surgery is the most commonly performed elective surgery in the foot and ankle. As with all surgery, there are many potential complications quoted in the literature. Venous thromboembolism (deep vein thrombosis and pulmonary embolism) prophylaxis, however, is not adequately addressed and remains controversial. MATERIALS AND METHOD: This prospective study includes 100 patients who underwent hallux surgery. Risk factors implicated to increase the risk of developing venous thromboembolic disease as well as anaesthetic time, thigh tourniquet time and regional anaesthetic blocks were documented. Compressive ultrasonography was performed in all the patients post-operatively. RESULTS: There was one incident of calf deep vein thrombosis (DVT). No patient developed a pulmonary embolus. The one patient who developed a DVT was not at any higher risk than the average patient in the study. CONCLUSION: As a result of the low incidence of venous thromboembolic disease in this study, the authors do not recommend the routine use of chemical venous thrombo-prophylaxis in patients undergoing hallux surgery. The decision to give post-operative anticoagulation remains the surgeon's responsibility. The duration of prophylaxis will depend on when the patient is fully mobile. LEVEL: 2

Keywords : hallux surgery; venous thromboembolism.

        · text in English     · English ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License