Current trends for venous thromboembolic prophylaxis for hip arthroscopy: a modified Delphi and nominal group technique consensus study
Authors
Parsa A, Bedi A, Domb BG
Journal
Journal of Hip Preservation Surgery, 2024
Objective
To determine current practices and consensus regarding venous thromboembolism (VTE) prophylaxis in hip arthroscopy.
Methodology
A survey was conducted among 35 high-volume hip arthroscopists using modified Delphi and nominal group techniques to establish consensus.
Key Findings
- 91.4% of surgeons use chemoprophylaxis, primarily aspirin.
- Duration of aspirin use varied: 2–3 weeks (31.4%), 1 month (65.7%), and 2–3 months (2.9%).
- Surgeons agree that chemoprophylaxis is essential for high-risk or complex cases.
- No consensus was reached on stopping oral contraceptives or smoking preoperatively.
Conclusion
There is strong consensus among experts to use aspirin after hip arthroscopy to prevent blood clots, though the ideal duration and protocols are still unclear.
What Does This Mean For Patients
After hip arthroscopy, most surgeons recommend aspirin to reduce the risk of blood clots. However, the duration of treatment may vary, and you should follow your surgeon's recommendations.