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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 3, 296-300.
doi: 10.1302/0301-620X.87B3.15060  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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A postal survey of current thromboprophylactic practices of consultant orthopaedic surgeons in the treatment of fracture of the hip

A. C. Watts, BSc, MB BS, MRCS Ed, Specialist Registrar in Orthopaedics; and I. J. Brenkel, BSc, MB ChB, FRCS Ed, Consultant Orthopaedic Surgeon

Department of Orthopaedic Surgery, Queen Margaret Hospital, Dunfermline, Fife KY2 0TT, UK.

Correspondence should be sent to Mr I. J. Brenkel; e-mail: ivanbrenkel{at}yahoo.co.uk

Despite increasing scientific investigation, the best method for preventing post-operative deep-vein thrombosis remains unclear. In the wake of the publication of the Pulmonary Embolism Prevention trial and the Scottish Intercollegiate Guidelines Network (SIGN) on the prevention of thromboembolism, we felt that it was timely to survey current thromboprophylactic practices. Questionnaires were sent to all consultants on the register of the British Orthopaedic Association. The rate of response was 62%. The survey showed a dramatic change in practice towards the use of chemoprophylaxis since the review by Morris and Mitchell in 1976. We found that there was a greater uniformity of opinion and prescribing practices in Scotland, consistent with the SIGN guidelines, than in the rest of the UK. We argue in favour of the use of such documents which are based on a qualitative review of current scientific literature.




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G. HEYBURN
A postal survey of current thromboprophylactic practices of consultant orthopaedic surgeons in the treatment of fracture of the hip
J Bone Joint Surg Br, October 1, 2005; 87-B(10): 1445 - 1446.
[Full Text] [PDF]

eLetters:

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Letter from A. Upadhyay
A Upadhyay
J Bone Joint Surg Br Online, 8 Apr 2005 [Full text]
National Audit on DVT prophylaxis for patients with fracture neck of femur
Chakravarthy U Dussa, et al.
J Bone Joint Surg Br Online, 10 May 2005 [Full text]
Use of fondaparinux
Gary Heyburn
J Bone Joint Surg Br Online, 16 May 2005 [Full text]
Reply from Mr Brenkel to Dr Heyburn
Ivan J Brenkel, et al.
J Bone Joint Surg Br Online, 19 May 2005 [Full text]

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Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General