One of the more known complications after orthopedic surgery (and especially after a knee replacement) is deep venous thrombosis (DVT). When it occurs, it often occurs in the calf. Although it may remain asymptomatic and never progress, it can travel to the lungs and cause a pulmonary embolism. In some cases, this can lead to shortness of breath and even be fatal on rare occasions. 🚨 Orthopedic surgeons such as myself often do focus on DVT prophylaxis, especially after major procedures involvin
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One of the more known complications after orthopedic surgery (and especially after a knee replacement) is deep venous thrombosis (DVT). When it occurs, it often occurs in the calf. Although it may remain asymptomatic and never progress, it can travel to the lungs and cause a pulmonary embolism. In some cases, this can lead to shortness of breath and even be fatal on rare occasions. 🚨 Orthopedic surgeons such as myself often do focus on DVT prophylaxis, especially after major procedures involvin
115.5K views9 months ago
FacebookNick Pappas, MD
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🚨 New NEJM Trial Could Change Post-Op DVT Prevention! 🦵🩸 For years, many patients received 5 days of rivaroxaban followed by aspirin after a hip or knee replacement. But do we even need the rivaroxaban? 📝 EPCAT III Trial (NEJM 2026) ✅ Over 5,400 patients ✅ Total hip & total knee arthroplasty ✅ Compared: • Aspirin 81 mg daily from day 1 🆚 • Rivaroxaban 10 mg daily for 5 days → then aspirin 81 mg 🎯 Results (90 days): 🩸 Blood clots (DVT/PE): • Aspirin: 0.48% • Rivaroxaban → Aspirin: 0.45% ➡️
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