Randomized Trialhigh evidence

After THA or TKA, aspirin alone was noninferior to rivaroxaban then aspirin for symptomatic VTE at 90 d.

Annals of internal medicine·October 1, 2026·PMID 42832796

Why it matters

Postoperative VTE prophylaxis after joint replacement often involves anticoagulants with higher bleeding risk and cost. Demonstrating aspirin's noninferiority to a rivaroxaban-based regimen could simplify care, reduce bleeding, and lower costs for orthopedic patients.

Infographic summary of After THA or TKA, aspirin alone was noninferior to rivaroxaban then aspirin for symptomatic VTE at 90 d.
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