Bone Chatter Blog

What do you use post-op for prophylactic anti-coagulation for the total joint patient?


  • Nancy Schuttenbeld

    June 26th, 2018 01:15am

    Our practice has been Rivaroxaban oral starting day after surgery. If surgeon does not choose this one, then it’s a once a day s/q anticoagulant. Check out the CHEST guidelines as well for more information. Anticoagulation therapy is continually advancing with more studies published. Nancy in NB

  • Candace Kenyon

    June 26th, 2018 17:12pm

    We really have a mixed bag. Some physicians are using Fragmin, others are using Rivaroxaban and a small group use aspirin. We also have some physicians that order Fragmin for the first week or two and then convert to aspirin. Our provincial care path follows the recommendations of the American Association of Orthopaedic Surgeon which endorses a variety of post op prophylaxis options.
    Candace in Edmonton,AB

  • Stella Callender

    June 26th, 2018 17:44pm

    One of my surgeons uses Rivaroxaban for 2 weeks and Aspirin for 4 weeks or Fragmin for 2-4 weeks.
    Stella in Edmonton

  • Maureen Sly-Havey

    June 27th, 2018 16:42pm

    It varies...Lovenox injections, Xarelto, ASA. If patients come in to hospital on one of the oral anticoagulants, they may be maintained on it, using Lovenox as a bridge. Some research being done using ASA.

  • Rachel Craig

    July 12th, 2018 00:21am

    For sites that are using ASA for anticoagulation prophylaxis, are you using TED stockings in conjunction with ASA?

  • Candace Kenyon

    July 27th, 2018 18:35pm

    Hi Rachel
    No we are not using TED Stockings with our ASA