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< Back Congenital Hand Problems congenital-hand-problems Previous Next

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< Back Classifications A SA trauma-classifications Previous Next

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< Back Anticoagulants Anticoagulants are medications that prevent clot formation. They are essential in orthopaedics for thromboprophylaxis, especially after surgery. Common Anticoagulants in Orthopaedics: Low Molecular Weight Heparin (LMWH): Enoxaparin Direct Oral Anticoagulants (DOACs): Rivaroxaban, Apixaban, Dabigatran Unfractionated Heparin Warfarin (less common due to monitoring needs) Indications in Orthopaedics: Prevention of deep vein thrombosis (DVT) and pulmonary embolism (PE) after joint replacement or major trauma Management of patients with a history of thromboembolism Atrial fibrillation with orthopaedic comorbidities Key Considerations: Start prophylaxis 6–12 hours after surgery (depending on bleeding risk) Continue for at least 10–14 days, sometimes up to 35 days in hip replacement Adjust dosing for renal function Monitor for signs of bleeding (wound hematoma, prolonged bleeding) Contraindications: Active bleeding Severe bleeding risk (e.g., recent CNS surgery) Coagulopathy Bridging and Reversal: Reversal agents: Protamine (heparin), Vitamin K (warfarin), Idarucizumab (dabigatran) Bridging required with LMWH in warfarin patients undergoing surgery Previous Next

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< Back Sacral Fractures Sacral Fractures Previous Next

< Back Thoracic Spine Fractures kocaelispor Previous Next

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