Abstract：
The International Consensus on Venous Thromboembolism (ICM-VTE), will change our current practice as most recent evidence is included. This fact is not usual in most clinical practice guidelines to date. Many orthopedic and trauma procedures do not require thromboembolic prophylaxis, but it should be considered depending on individual risk factors or major surgeries (total hip or knee arthroplasty, spine surgery or fractures that require immobilization and weight bearing restriction). Within the prophylaxis options, we must notice the strength of the drug preventing venous thromboembolism, but also the effect of hemorrhage and bleeding that it may produce. The use of aspirin and mechanical prophylaxis has been described as the safest and most effective combination in most cases.
摘要：
静脉血栓栓塞国际共识（ICM-VTE）将改变我们目前的做法，因为包括了最新的证据。这一事实在迄今为止的大多数临床实践指南中并不常见。许多骨科和创伤手术不需要预防血栓栓塞，但应根据个人风险因素或大型手术（全髋关节或膝关节置换术，脊柱手术或需要固定和负重限制的骨折)。在预防选项中，我们必须注意预防静脉血栓栓塞的药物的强度，还有出血和出血可能产生的影响。在大多数情况下，使用阿司匹林和机械预防被描述为最安全和最有效的组合。
