Consenso intersocietario sulla profilassi antitrombotica in chirurgia protesica dell’anca e del ginocchio e nelle fratture del collo femorale

Anticoagulant prophylaxis for preventing VTE is a world wide established procedure in hip and knee replacement surgery, as well as in the treatment of femoral neck fractures.Different guidelines are available in literature with quite different recommendations.None of them is a multydisciplinary effort as the one presented. The Italian Society for Studies on Haemostasis and Thrombosis (SISET), the Italian Society of Orthopaedics and Traumatology (SIOT), the association of Orthopaedic Traumatology of Italian Hospitals (OTODI) together with the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) have set down easy and quick suggestions for TEV prophylaxis in hip and knee surgery as well as in femoral neck fracture treatment. This intersociety consensus statement aims at simplifying the grading system reported in the literature, and its goal is to favour its clinical application. Special focuses have been also pointed toward fragile patients and on those patients at high risk of bleeding or receiving chronic antiplatelet and Vitamin K antagonists treatment. A special chapter have been dedicated to regional anaesthesia and TEV prophylaxis.