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                <idno type="issn">0942-2056</idno>
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                <title level="j">Knee Surgery, Sports Traumatology, Arthroscopy</title>
                <imprint>
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                  <biblScope unit="volume">30</biblScope>
                  <biblScope unit="issue">11</biblScope>
                  <biblScope unit="pp">pp 3634-3643</biblScope>
                  <date type="datePub">2022-01-01</date>
                  <date type="dateEpub">2022-04-18</date>
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            <textClass>
              <keywords scheme="author">
                <term xml:lang="en">VENOUS THROMBOEMBOLISM</term>
                <term xml:lang="en">VTE PROPHYLAXIS</term>
                <term xml:lang="en">VENOUS THROMBOEMBOLISM</term>
                <term xml:lang="en">MODIFIED DELPHI</term>
                <term xml:lang="en">KNEE SOFT TISSUE RECONSTRUCTION</term>
                <term xml:lang="en">KNEE JOINT</term>
                <term xml:lang="en">KNEE ARTHROSCOPY</term>
                <term xml:lang="en">HUMANS</term>
                <term xml:lang="en">FEMALE</term>
                <term xml:lang="en">DEEP VENOUS THROMBOSIS</term>
                <term xml:lang="en">CONTRACEPTIVES, ORAL</term>
                <term xml:lang="en">ARTHROSCOPY</term>
              </keywords>
              <classCode scheme="halDomain" n="spi.meca.biom">Engineering Sciences [physics]/Mechanics [physics.med-ph]/Biomechanics [physics.med-ph]</classCode>
              <classCode scheme="halTypology" n="ART">Journal articles</classCode>
              <classCode scheme="halOldTypology" n="ART">Journal articles</classCode>
              <classCode scheme="halTreeTypology" n="ART">Journal articles</classCode>
            </textClass>
            <abstract xml:lang="fr">
              <p>PURPOSE: There is a lack of consensus regarding need for Venous Thrombo Embolism (VTE) prophylaxis following arthroscopic knee surgery and open soft tissue knee reconstruction. Clear cut guidelines like ones for trauma surgery and arthroplasty do not exist and the published literature is limited to case reports with a few society guidelines. Given this lack of consensus, we conducted a modified Delphi questionnaire of international experts to provide recommendations on this topic.METHODS: The consensus statements were generated using an anonymised 3 round modified Delphi questionnaire, sent to an international panel of 38 knee surgeons, with an 80% agreement being set as the limit for consensus. The responses were analysed using descriptive statistics with measures like mode, median and box plots. Feedback was provided to all panelists based on responses from the previous rounds to help generate the consensus.RESULTS: Six consensus statements were generated after the three rounds of Delphi. Patient factors, prolonged surgery duration and family history of thrombogenic events emerged as the main points to be taken into consideration for prophylaxis.CONCLUSION: It was established through this study, that there exists a select group of patients undergoing arthroscopic surgery that justify the usage of VTE prophylaxis. The expert responses to most of the questions in different scenarios favoured usage of VTE prophylaxis based on patient factors like advanced age, past history of VTE, smoking, oral contraceptive use etc. LEVEL OF EVIDENCE: Level V.</p>
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          <orgName>Medanta Medicity</orgName>
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            <address>
              <addrLine>Gurugram, Haryana</addrLine>
              <country key="IN"/>
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              <country key="IN"/>
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        <org type="institution" xml:id="struct-551177" status="INCOMING">
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            <address>
              <country key="US"/>
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        </org>
        <org type="institution" xml:id="struct-72398" status="VALID">
          <idno type="ROR">https://ror.org/046rm7j60</idno>
          <orgName>University of California [Los Angeles]</orgName>
          <orgName type="acronym">UCLA</orgName>
          <desc>
            <address>
              <addrLine>Los Angeles, Californie 90095</addrLine>
              <country key="US"/>
            </address>
            <ref type="url">https://www.ucla.edu/</ref>
          </desc>
          <listRelation>
            <relation active="#struct-471291" type="direct"/>
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        </org>
        <org type="regroupinstitution" xml:id="struct-471291" status="VALID">
          <idno type="ROR">https://ror.org/00pjdza24</idno>
          <orgName>University of California</orgName>
          <orgName type="acronym">UC</orgName>
          <date type="start">1869-01-01</date>
          <desc>
            <address>
              <country key="US"/>
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            <ref type="url">https://www.universityofcalifornia.edu/</ref>
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        <org type="institution" xml:id="struct-194495" status="VALID">
          <idno type="IdRef">026402823</idno>
          <idno type="ISNI">0000000121686185</idno>
          <idno type="ROR">https://ror.org/029brtt94</idno>
          <orgName>Université Claude Bernard Lyon 1</orgName>
          <orgName type="acronym">UCBL</orgName>
          <desc>
            <address>
              <addrLine>43, boulevard du 11 novembre 1918, 69622 Villeurbanne cedex</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.univ-lyon1.fr/</ref>
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        <org type="regroupinstitution" xml:id="struct-301088" status="VALID">
          <idno type="ROR">https://ror.org/01rk35k63</idno>
          <orgName>Université de Lyon</orgName>
          <desc>
            <address>
              <addrLine>92 rue Pasteur - CS 30122, 69361 Lyon Cedex 07</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.universite-lyon.fr/</ref>
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        </org>
        <org type="institution" xml:id="struct-580722" status="VALID">
          <idno type="ROR">https://ror.org/03x42jk29</idno>
          <orgName>Université Gustave Eiffel</orgName>
          <date type="start">2020-01-01</date>
          <desc>
            <address>
              <addrLine>Cité Descartes, 5 Boulevard Descartes • Champs-sur-Marne, 77454 Marne-la-Vallée Cedex 2</addrLine>
              <country key="FR"/>
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            <ref type="url">https://www.univ-gustave-eiffel.fr/</ref>
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            <address>
              <country key="EN"/>
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        <org type="institution" xml:id="struct-1057060" status="INCOMING">
          <orgName>parent</orgName>
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            <address>
              <country key="PL"/>
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        </org>
        <org type="institution" xml:id="struct-546540" status="INCOMING">
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            <address>
              <country key="FR"/>
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        </org>
        <org type="institution" xml:id="struct-546577" status="INCOMING">
          <orgName>parent</orgName>
          <desc>
            <address>
              <country key="AU"/>
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        </org>
      </listOrg>
    </back>
  </text>
</TEI>