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Anticoagulant prophylaxis for preventing VTE is a world wide established procedure in hip and knee replacement surgery, as well as in the treatment of femoral neck fractures. Different guidelines are available in literature with quite different recommendations. None of them is a multidisciplinary effort as the one presented. In 2010 the Italian Society on Haemostasis and Thrombosis (SISET), the Italian Society of Orthopaedics and Traumatology (SIOT), the Association of Orthopaedics and Traumatologists of Italian Hospitals (OTODI), together with the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI), have set down practical suggestions for VTE prophylaxis in hip and knee surgery as well as in femoral neck fracture treatment. This Intersociety Consensus Statement aimed at simplifying the grading system reported in the literature, and its goal was to favour its clinical application. Special focuses addressed fragile patients and those patients at high risk of bleeding or receiving chronic antiplatelet and vitamin K antagonists treatment, and a special chapter was dedicated to regional anaesthesia and VTE prophylaxis. The registration of three novel oral anticoagulants (dabigatran, rivaroxaban and apixaban) for VTE prophylaxis in major orthopedic surgery and the ongoing introduction of these drugs for the prevention of embolism in atrial fibrillation make it necessary an update of the Intersociety Consensus Statement. [ABSTRACT FROM AUTHOR]

Preoperative planning is a fundamental step to successfully perform knee replacement surgery. Detailed knowledge of the surgical procedures and careful organisation of the medical staff are an important responsability for the orthopaedic surgeon, which must remain a reference point for the patient also outside the operating theatre. [ABSTRACT FROM AUTHOR]

Anticoagulant prophylaxis for preventing VTE is a worldwide established procedure in hip and knee replacement surgery, as well as in the treatment of femoral neck fractures, but few data exist in other fields of orthopaedics and traumatology. Thus no guidelines or recommendations are available in the literature except for a limited number of weak statements about knee arthroscopy and lower limb fractures. In any case, none of them is a multidisciplinary effort as the one here presented. The Italian Society for Studies on Haemostasis and Thrombosis (SISET), the Italian Society of Orthopaedics and Traumatology (SIOT), the association of Orthopaedic Traumatology of Italian Hospitals (OTODI) together with the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) and the Italian Society of General Medicine (SIMG) have set down easy and quick suggestions for VTE prophylaxis in a number of surgical conditions for which only scarce evidence is available. This inter-society consensus statement aims at simplifying the approach to VTE prophylaxis in the single patient with the goal to foster its clinical application. This statement is therefore addressed to the Italian scientific community and institutions with the aim of attaining good clinical practice in the profession. The present statement will be published in the 'Journal of Orthopaedics and Traumatology',' Lo Scalpello' and in the websites of the Societies participating this consensus (OTODI, SIAARTI, SIMG, SIOT, SISET). It will be submitted to Minerva Anestesiologica. [ABSTRACT FROM AUTHOR]

nticoagulant prophylaxis for preventing VTE is a world wide established procedure in hip and knee replacement surgery, as well as in the treatment of femoral neck fractures.Different guidelines are available in literature with quite different recommendations.None of them is a multydisciplinary effort as the one presented. The Italian Society for Studies on Haemostasis and Thrombosis (SISET), the Italian Society of Orthopaedics and Traumatology (SIOT), the association of Orthopaedic Traumatology of Italian Hospitals (OTODI) together with the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) have set down easy and quick suggestions for TEV prophylaxis in hip and knee surgery as well as in femoral neck fracture treatment. This intersociety consensus statement aims at simplifying the grading system reported in the literature, and its goal is to favour its clinical application. Special focuses have been also pointed toward fragile patients and on those patients at high risk of bleeding or receiving chronic antiplatelet and Vitamin K antagonists treatment. A special chapter have been dedicated to regional anaesthesia and TEV prophylaxis. [ABSTRACT FROM AUTHOR]

Cup revision in huge acetabular osteolysis and/or pelvic discontinuity is one of the most challenging situations in hip surgery. A wide and versatile surgical approach is mandatory to better visualize the acetabulum. A bone graft is crucial to rebuild the acetabular bone stock, and dedicated devices are needed. Anti-protrusio cages are indicated in severe cases with acetabular bottom and wall deficiencies. The Octopus is a periacetabular anti-protrusio cage, with a hook for the obturator foramen and two plates for the iliac wing, useful in the reconstruction of the acetabulum. Authors describe their experience, indications and limits with the use of Octopus in severe acetabular deficiencies. [ABSTRACT FROM AUTHOR]