静脉血栓栓塞症（ VTE）在骨科术后有很高的致残率，严重时甚至会导致患者死亡。目前医学界多建议在骨科大手术后运用药物方式预防VTE，但与之形成鲜明对比的是，几乎没有人建议在足踝术后进行VTE的预防。虽然足踝术后VTE的发生率相对较低，但是一旦发生就会导致严重的后遗症，甚至死亡。对于骨科医师来说如何判断患者罹患 VTE 的风险，并针对患者不同的风险程度制定相应的预防策略是非常重要的。“,”Venous thromboembolism(VTE) in orthopedic surgery has a high morbidity,and could even lead to death.The majority of the literature supports proper medication prophylaxis following major orthopedic surgery.Foot and ankle surgery,however,is starkly contrasted because of the lack of recommendations.How-ever, even with a documented low incidence of postoperative VTE, an occurrence can lead to significant patient morbidity or even mortality.Once identified,careful risk assessment must be done and proper prophy-laxis should be implemented after a thorough discussion with the patient .