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Is Low-Molecular-Weight Heparin Suitable in All Patients Undergoing Knee Arthroplasty?
- Giuseppe Camporese, MD;
- Franco Noventa, MD; and
- Enrico Bernardi, MD, PhD
- From the University Hospital of Padua, 35128 Padua, Italy, and Hospital of Conegliano Veneto, 31015 Conegliano, Italy.
IN RESPONSE:
We appreciate Dr. Geerts' evaluation of our work. We are aware that our conclusions differ from the 8th ACCP guidelines about the prevention of VTE after knee arthroscopy (1). We also note that Table 9 in those guidelines incorrectly lists the incidence of VTE found in our trial: The table's numbers for our trial differ from those presented at the last International Society of Thrombosis and Haemostasis Congress and from those presented in our article. We offer the following responses to the other points made by Dr. Geerts.
First, we agree that the accuracy of ultrasonography in the setting of asymptomatic calf DVT is suboptimal (2). As stated in the methods of the published article, the primary efficacy end …
