{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T21:02:14Z","timestamp":1790370134926,"version":"4.1.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2016,7,8]],"date-time":"2016-07-08T00:00:00Z","timestamp":1467936000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:p>Lower-limb immobilization has been implicated as an etiological factor for venous thromboembolic events (VTEs). However, there is no patient-centered scoring system available for risk assessment in ambulatory trauma patients with temporary lower-limb immobilization. A patient questionnaire scoring system has been developed for ambulatory patients with foot and ankle fracture being managed nonoperatively as outpatients by temporary lower-limb immobilization. Patients are classed as either high or low risk for developing a VTE and offered low-molecular-weight heparin (LMWH) accordingly. This is a prospective study of 150 patients with a follow-up of 6 months. Only 3 patients developed VTEs: one was noncompliant with medicine, one was started on LMWH 2 days after getting a plaster cast, and the third was not started on LMWH in spite of family history of VTEs. This study showed that using this scoring system, LMWH can be used safely and effectively as a thromboprophylactic agent for ambulatory trauma patients requiring temporary lower-limb immobilization to manage foot and ankle fractures. It is a step toward developing a validated clinical prediction score to enable risk assessment in ambulatory trauma patients who are managed non-operatively with temporary lower limb immobilization.<\/jats:p>\n                  <jats:p>Levels of Evidence: Prognostic, Level IV: Case series<\/jats:p>","DOI":"10.1177\/1938640016640892","type":"journal-article","created":{"date-parts":[[2016,4,4]],"date-time":"2016-04-04T23:50:42Z","timestamp":1459813842000},"page":"388-393","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Thromboprophylaxis in Ambulatory Trauma Patients With Foot and Ankle Fractures"],"prefix":"10.1177","volume":"9","author":[{"given":"Syed","family":"Haque","sequence":"first","affiliation":[{"name":"Kettering General Hospital, Kettering, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Bishnoi","sequence":"additional","affiliation":[{"name":"Kettering General Hospital, Kettering, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamidreza","family":"Khairandish","sequence":"additional","affiliation":[{"name":"Kettering General Hospital, Kettering, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dipen","family":"Menon","sequence":"additional","affiliation":[{"name":"Kettering General Hospital, Kettering, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,7,8]]},"reference":[{"key":"bibr1-1938640016640892","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(92)90153-J"},{"key":"bibr2-1938640016640892","doi-asserted-by":"publisher","DOI":"10.1160\/TH10-11-0751"},{"key":"bibr3-1938640016640892","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B10.19241"},{"key":"bibr4-1938640016640892","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1613887"},{"key":"bibr5-1938640016640892","unstructured":"American College of Chest Physicians. Antithrombotic guidelines, 9th edn. https:\/\/www.chestnet.org\/Guidelines-and-Resources\/Guidelines-and-Consensus-Statements\/Antithrombotic-Guidelines-9th-Ed. Accessed March 19, 2016."},{"issue":"4","key":"bibr6-1938640016640892","first-page":"CD006681","author":"Testroote M","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr7-1938640016640892","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.03.016"},{"key":"bibr8-1938640016640892","unstructured":"National Institute for Health and Care Excellence. Venous thromboembolism: reducing the risk for patients in hospital. http:\/\/guidance.nice.org.uk\/CG92. Accessed December 10, 2015."},{"key":"bibr9-1938640016640892","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2013-203134"},{"key":"bibr10-1938640016640892","first-page":"388","volume":"91","author":"Lapidus L","year":"2009","journal-title":"J Bone Joint Surg Br"},{"key":"bibr11-1938640016640892","unstructured":"Centers for Disease Control and Prevention. Travellers\u2019 health. http:\/\/wwwnc.cdc.gov\/travel\/yellowbook\/2016\/the-pre-travel-consultation\/deep-vein-thrombosis-pulmonary-embolism. Accessed March 19, 2016."},{"key":"bibr12-1938640016640892","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2005-04-1546"},{"key":"bibr13-1938640016640892","doi-asserted-by":"publisher","DOI":"10.1186\/1477-9560-3-14"},{"key":"bibr14-1938640016640892","unstructured":"National Institute for Health and Care Excellence. Venous thromboembolic diseases: diagnosis, management and thrombophilia testing. https:\/\/www.nice.org.uk\/guidance\/cg144\/chapter\/1-guidance. Accessed December 20, 2015."},{"key":"bibr15-1938640016640892","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.05.009"},{"key":"bibr16-1938640016640892","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714546548"},{"key":"bibr17-1938640016640892","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2013.11.002"},{"key":"bibr18-1938640016640892","unstructured":"Scottish Intercollegiate Guidelines Network. Prevention and management of venous thromboembolism: quick reference guide. http:\/\/sign.ac.uk\/pdf\/qrg122.pdf. Accessed December 10, 2015."},{"key":"bibr19-1938640016640892","first-page":"68","volume":"28","author":"Parisi R","year":"2009","journal-title":"Int Angiol"},{"key":"bibr20-1938640016640892","unstructured":"Centers for Disease Control and Prevention. Deep vein thrombosis and pulmonary embolism; the pre-travel consultation counseling and advice for travelers. http:\/\/wwwnc.cdc.gov\/travel\/page\/dvt. 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