Orthopaedic Trauma Surgery Guidelines for DVT Prophylaxis upon Discharge from the Hospital

Uncomplicated, isolated upper extremity – postoperative and nonoperative fractures: Aspirin 325mg PO BID x 3 weeks

Pelvic ring injuries, acetabular injuries, sacral injuries – operative and nonoperative: Initially Lovenox 40 mg SQ qday x 3 weeks. (if at follow up visit, patient remains bed to chair and is not mobile, may continue lovenox for total of 6 weeks)

Hip fracture/femur fractures and tibial plateau fractures: Lovenox 40 mg SQ qday x 3 weeks.

Bilateral lower extremity injuries with bed to chair immobilization: Lovenox 40 mg SQ qday x 3 weeks. (if at follow up visit, patient remains bed to chair and is not mobile, may continue lovenox for total of 6 weeks)

Uncomplicated, isolated tibial shaft fractures, operative and mobilizing: Aspirin 325mg PO BID x 3 weeks

Uncomplicated, isolated lower extremity – Ankle/pilon operative: Aspirin 325mg PO BID x 3 weeks

Uncomplicated, isolated lower extremity – talus/calcaneus: Aspirin 325mg PO BID x 3 weeks