traumatic leg injury

^[1]^[2]^[3]

Management

ibuprofen as effective as tylenol with codeine for analgesia in children age 5-17^[3]
prophylaxis for deep vein thrombosis
- consider LMW heparin for patients who require immobilization in a plaster cast or brace with non weight-bearing, i.e. crutches or wheel chair^[1]
- mechanical foot pumps plus enoxaparin may be better than enoxaparin alone^[2]

↑ ^1.0 ^1.1 Journal Watch 22(19):150, 2002 Lassen MR et al, Use of the low-molecular-weight heparin reviparin to prevent acute deep-vein thromboembolism after leg injury requiring immobilization N Engl J Med 347:726, 2002 PMID: https://www.ncbi.nlm.nih.gov/pubmed/12213943
↑ ^2.0 ^2.1 Stannard JP et al, Prophylaxis against deep vein thrombosis following trauma: A prospective, randomized comparison of mechanical & pharmacologic prophylaxis J Bone Joint Surg Am 2006; 88:261 PMID: https://www.ncbi.nlm.nih.gov/pubmed/16452735
↑ ^3.0 ^3.1 Friday JH et al Ibuprofen provides analgesia equivalent to acetaminophen- codeine in the treatment of acute pain in children with extremity injuries: A randomized clinical trial. Acad Emerg Med 2009 Aug; 16:711. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19624576