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Q In patients receiving primary unilateral total hip or total knee replacement surgery, is prophylactic use of low molecular weight heparin (LMWH) plus intermittent pneumatic compression more effective than LMWH plus graduated compression stockings for reducing deep venous thrombosis (DVT)?
Clinical impact ratings IM/Ambulatory care ★★★★★★☆ Internal medicine ★★★★★★☆ Surgery ★★★★★☆☆ Haematology ★★★★☆☆☆
METHODS
Design:
randomised controlled trial.
Allocation:
{concealed*}†.
Blinding:
unblinded.*
Follow up period:
6–12 weeks
Setting:
a university hospital in Germany
Patients:
139 patients ⩾18 years of age who were awaiting primary unilateral total hip or knee replacement. Exclusion criteria included a history of cardiac insufficiency and chronic renal insufficiency.
Intervention:
thromboembolic prophylaxis with LMWH plus intermittent pneumatic compression (n = 70) or LMWH plus graduated compression stockings (class 1, …
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