**4.3 Fragility fractures of the pelvis, hip, and proximal femur**


### **4.4 Foot and ankle orthopedic surgery**

Only one guideline [21] considered recommendations for pharmacological prophylaxis in patients undergoing foot or ankle surgery after individually assessing for risk of VTE and bleeding.

### **4.5 Upper limb orthopedic surgery**

Two [21, 25] of seven (29%) CPGs contained recommendations with pharmacological prophylaxis in patients undergoing surgery upper limb surgery.

#### **4.6 Lower limb immobilization**

Five [21, 24–27] of seven (71%) CPGs contained recommendations for patients with lower limb immobilization whose risk of VTE outweighs the risk of bleeding and are subject to prolonged immobility.

#### **4.7 Knee arthroscopy**

Four [21, 25–27] of seven (57%) CPGs contained recommendations for pharmacological prophylaxis in patients undergoing knee arthroscopy in longer arthroscopic procedures with no contraindications.
