2021 Surgery of Femur Greece GNail Giotikas

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Quote from: Arcon on November 10, 2021, 06:02:52 AMAgree. I would ask them directly if i were to have my surgery there and needed responsible answers. You can't really expect to find anything but gossip here

It would not be right for them to disclose what happened to a patient. They can generally explain how they can save you from PE but not go into the details of any particular patient.

Remember, if not for some of the patients writing about it here, we would have never found out. It's not like their team would proactively write "Hi, your surgery is scheduled for next month so we are writing to you to inform you about a recent mishap for full transparency......."

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The decision to prescribe blood thinners depends not only on the surgery but also on the patient's own risk factors. Taking blood thinners does not reduce the risk of DVP/ PTE to zero. Everyone should know that having LL surgery comes with a risk of death / permanent impairment.

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Quote from: LLSouthAmerica on November 10, 2021, 08:38:21 AMThe decision to prescribe blood thinners depends not only on the surgery but also on the patient's own risk factors. Taking blood thinners does not reduce the risk of DVP/ PTE to zero. Everyone should know that having LL surgery comes with a risk of death / permanent impairment.

It reduces the chances by 99%. No patient died by blood clots where surgeons give blood thinners. Don't buy into this bs. Blood thinners are very important.

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You don't know what you are talking about. I've seen plenty of patients die of blood clots even using blood thinners. Are you a doctor?

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@overandover and @LLSouthAmerica you are oth right. Blood thinners do reduce the risk of thrombosis significantly but it can still happen and patients have indeed died from PE whilst on blood thinner. i.e. the risk is reduced a lot but nover eliminated.

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Quote from: LLSouthAmerica on November 10, 2021, 11:11:19 AMYou don't know what you are talking about. I've seen plenty of patients die of blood clots even using blood thinners. Are you a doctor?
Plenty?  What are the odds according to you?

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Quote from: LLSouthAmerica on November 10, 2021, 11:11:19 AMYou don't know what you are talking about. I've seen plenty of patients die of blood clots even using blood thinners. Are you a doctor?

Any source to claim your comment? any link? or is it just your imagination?

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Quote from: overandover on November 10, 2021, 12:07:12 PMAny source to claim your comment? any link? or is it just your imagination?

Seriously? Just enter Pubmed and search any direct oral anticoagulant, warfarin or heparin. Every trial comparing these agents has patients who were treated and developed DVT and PTE. If the risk were zero and blood thinners were perfect, we would not have so many treatments for the same disease.

Quote from: two on November 10, 2021, 11:58:56 AMPlenty?  What are the odds according to you?

I don't make the odds haha. It is not a matter of opinion. You should search for a randomized double-blind trial comparing anticoagulant vs no anticoagulant in LL. To my knowledge, there isn't one. Probably because of the difficulty in having enough samples and different techniques by different doctors. You could look for femoral nailing and maybe extrapolate the overall risk for this surgery.

However, my point was that you have to know that everybody has a risk of having a DVT and PTE. This risk may increase if you are obese, a smoker. It also depends on the surgical technique and if you are weight bearing or not. Blood thinners may reduce this risk but there are pros and cons of using them. It is not for us to decide but for the specialists.

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Quote from: LLSouthAmerica on November 10, 2021, 12:48:25 PMSeriously? Just enter Pubmed and search any direct oral anticoagulant, warfarin or heparin. Every trial comparing these agents has patients who were treated and developed DVT and PTE. If the risk were zero and blood thinners were perfect, we would not have so many treatments for the same disease.

I don't make the odds haha. It is not a matter of opinion. You should search for a randomized double-blind trial comparing anticoagulant vs no anticoagulant in LL. To my knowledge, there isn't one. Probably because of the difficulty in having enough samples and different techniques by different doctors. You could look for femoral nailing and maybe extrapolate the overall risk for this surgery.

However, my point was that you have to know that everybody has a risk of having a DVT and PTE. This risk may increase if you are obese, a smoker. It also depends on the surgical technique and if you are weight bearing or not. Blood thinners may reduce this risk but there are pros and cons of using them. It is not for us to decide but for the specialists.

It is hard for us laypeople to find such papers. Could you find some research when you have a moment (for fracture nailing) as you are a medical professional?
I really am not able to decide without knowing the chances of pulmonary embolism. If there is a 5% chance after taking blood thinners then I won't do this procedure. If there is a 1% chance after taking blood thinners then I might. Pulmonary embolism is horrible. You can be left with searious health problems even if you survive.
Thank you sir

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Quote from: LLSouthAmerica on November 10, 2021, 12:48:25 PMSeriously? Just enter Pubmed and search any direct oral anticoagulant, warfarin or heparin. Every trial comparing these agents has patients who were treated and developed DVT and PTE. If the risk were zero and blood thinners were perfect, we would not have so many treatments for the same disease.

I don't make the odds haha. It is not a matter of opinion. You should search for a randomized double-blind trial comparing anticoagulant vs no anticoagulant in LL. To my knowledge, there isn't one. Probably because of the difficulty in having enough samples and different techniques by different doctors. You could look for femoral nailing and maybe extrapolate the overall risk for this surgery.

However, my point was that you have to know that everybody has a risk of having a DVT and PTE. This risk may increase if you are obese, a smoker. It also depends on the surgical technique and if you are weight bearing or not. Blood thinners may reduce this risk but there are pros and cons of using them. It is not for us to decide but for the specialists.

1. source of claim that LL patients who received Blood thinner died not in general.
2. I never said it's 100% effective.