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Posted on Sep 28, 2021, 7:50 am
#1

Does it make sense to use Vena cava filter for the prevention of fat embolism? I am planning to ask about this to the doc but I am not sure if they'll agree to put it or not.

There has been some research on this topic that it can prevent fat embolism https://sjtrem.biomedcentral.com/articles/10.1186/s13049-021-00906-1

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Posted on Sep 28, 2021, 4:38 pm
#2

Interesting. I could ask the next surgeon I have on but I'm sure they'll say chances of embolisms are very low using blood thinners and post-op mobility

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Posted on Sep 28, 2021, 4:53 pm
#3

Quote from: cyborg4life on September 28, 2021, 04:38:24 PMInteresting. I could ask the next surgeon I have on but I'm sure they'll say chances of embolisms are very low using blood thinners and post-op mobility


Thanks, Victor.

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Posted on Sep 28, 2021, 8:41 pm
#4

Quote from: cyborg4life on September 28, 2021, 04:38:24 PMInteresting. I could ask the next surgeon I have on but I'm sure they'll say chances of embolisms are very low using blood thinners and post-op mobility

This is a really interesting question. The risk of embolism can be reduced with ventilation holes drilled into the bone, blood thinners, compression and early mobilization. The vena cava filter is usually inserted after a detected blood clot has formed or when blood thinners cannot be used. To what extent is it possible to use this as standard practice to further reduce risk in LL surgeries? We look forward to surgeon's reply.

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Posted on Sep 29, 2021, 8:21 am
#5

I think people are confusing fat and coagulant-induced embolisms here.

Blood thinners or anticoagulants only work on coagulant-induced embolisms.

There are no cure for fat embolisms. Only ventilation pipes and good osteotomy during surgery can prevent this.



Regardless, early mobilization and hydration are key to preventing/alleviating all kinds of embolisms (blood clots that moves) and thrombosis (blood clots that are stationary), hence why weightbearing nails are such a breakthrough.

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