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Selected Instructional Course Lecture   |    
Venous Thromboembolic Disease After Total Hip and Knee Arthroplasty
Steven B. Haas, MD, MPH1; Robert L. Barrack, MD2; Geoffrey Westrich, MD1; Paul F. Lachiewicz, MD3
1 The Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021
2 Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, 660 South Euclid Avenue, Campus Box 8233, St. Louis, MO 63110
3 University of North Carolina, 3151 Bioinformatics Building, Campus Box 7055, 130 Mason Farm Road, Chapel Hill, NC 27514
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Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in February 2009 in Instructional Course Lectures, Volume 58. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. One or more of the authors, or a member of his or her immediate family, received, in any one year, payments or other benefits of less than $10,000 or a commitment or agreement to provide such benefits from a commercial entity (DJO Surgical). No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2008 Dec 01;90(12):2764-2780
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Look for this and other related articles in Instructional Course Lectures, Volume 58, which will be published by the American Academy of Orthopaedic Surgeons in February 2009:"Prevention of Symptomatic Pulmonary Embolism in Patients Undergoing Total Hip and Total Knee Arthroplasty: Clinical Guidelines of the American Academy of Orthopaedic Surgeons," by Paul F. Lachiewicz, MDThromboembolic disease continues to pose a major threat to patients undergoing total hip and knee arthroplasty. Despite a great deal of research, there is still controversy concerning the best prophylactic regimen. This lecture outlines the various methods of mechanical and pharmacologic prophylaxis, describes the pros and cons of the American College of Chest Physicians (ACCP) guidelines for prevention of deep venous thrombosis, and presents the American Academy of Orthopaedic Surgeons (AAOS) clinical guidelines for prevention of symptomatic pulmonary embolism in patients undergoing total hip and total knee arthroplasty.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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