The Role of Deep Venous Thrombosis Prophylaxis After Anterior Cruciate Ligament Reconstruction

Anterior cruciate ligament (ACL) reconstruction is one of the most commonly performed orthopaedic procedures. Venous thromboembolism is a rare, but potentially serious complication of ACL reconstructions and having a thorough understanding of the potential risk factors could help to minimize the incidence of postoperative deep vein thrombosis or pulmonary embolism. We review some of the literature on the risk factors, diagnosis and treatment of deep vein thrombosis or pulmonary embolism. Although current data does not support the routine use of thromboprophylaxis in all patients undergoing ACL reconstruction, it is important for the clinician to be aware that some consideration should be given for initiating pharmacological prophylaxis in some patients who may be at increased risk for thromboembolic disease.