Randomized Trialhigh evidence

Rivaroxaban Then Aspirin vs. Aspirin Alone after Total Hip or Knee Arthroplasty.

The New England journal of medicine·July 12, 2026·PMID 42437501

Why it matters

Orthopedic surgeons seek effective, simple thromboprophylaxis after joint replacement. This trial provides high-level evidence that aspirin alone is noninferior to a short course of rivaroxaban followed by aspirin, potentially simplifying postoperative regimens and reducing costs without compromising safety.

Infographic summary of Rivaroxaban Then Aspirin vs. Aspirin Alone after Total Hip or Knee Arthroplasty.
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