[Prevention of thromboembolism in conservative ambulatory fracture treatment. Verification of an out-of-court FMH (Federation Mediation Helvetica) expert assessment].

Abstract

In an extra judicial assessment for the Medical Assessment Centre of the FMH (Federation Mediation Helvetica) a clinical case of a female patient who had suffered from deep vein thrombosis was reviewed. The patient had been treated conservatively for a malleolar fracture and had not received any pharmaceutical thrombosis prophylaxis. The question of false treatment had to be discussed. The final conclusion of the judicial assessment is that the medical treatment with a physical thrombosis prophylaxis of the patient was correct. Due to the various controversial judgements found in the literature concerning the thrombosis prophylaxis, a certain insecurity remains for the treating physician. Taking into account the different risk factors, the indication for a prophylaxis must therefore still be decided on an individual basis.