Antithrombotic prophylaxis in persons with hemophilia undergoing orthopedic surgery
| Patient characteristic . | Recommended methods . |
|---|---|
| Without inhibitors, undergoing joint arthroplasty | Subcutaneous low-molecular-weight heparin, started 6-12 h after the end of the operation (eg, enoxiparin 40 mg), continued daily for no less than 4 wk |
| With inhibitors, undergoing joint arthroplasty and treated with bypassing agents | Mechanical methods of thromboprophylaxis (graduated compression stocking or intermittent pneumatic compression), for no less than 30 days postoperatively |
| With or without inhibitors, undergoing arthroscopic surgery | Early mobilization, as the only method of thromboprophylaxis |
| Patient characteristic . | Recommended methods . |
|---|---|
| Without inhibitors, undergoing joint arthroplasty | Subcutaneous low-molecular-weight heparin, started 6-12 h after the end of the operation (eg, enoxiparin 40 mg), continued daily for no less than 4 wk |
| With inhibitors, undergoing joint arthroplasty and treated with bypassing agents | Mechanical methods of thromboprophylaxis (graduated compression stocking or intermittent pneumatic compression), for no less than 30 days postoperatively |
| With or without inhibitors, undergoing arthroscopic surgery | Early mobilization, as the only method of thromboprophylaxis |