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To prevent deep venous thrombosis (DVT), an effective and well-tolerated mechanical compression device would be a welcome alternative to antithrombotic drugs. “Active Care + SFT” is a lightweight battery-operated portable device that synchronizes leg compressions to respiratory-related venous flow. It can be worn during ambulation and can be used at home after hospitalization.
In this randomized trial, sponsored by the device manufacturer, 410 patients who underwent total hip arthroplasty received 10 days of prophylaxis with the compression device or with enoxaparin (Lovenox). On lower-extremity duplex ultrasonography at 10 days, the incidence of DVT was 5% in both groups. Two patients in each group developed symptomatic pulmonary embolisms.…