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Impact of compression stockings on leg swelling after arthroscopy – a prospective randomised pilot study
BACKGROUND: Post-operative limb swelling may negatively affect the outcome of arthroscopic surgery and prolong rehabilitation. The aim of this pilot study was to evaluate the effect of compression stockings versus no compression on post-operative swelling and pain in the early post-operative phase....
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456960/ https://www.ncbi.nlm.nih.gov/pubmed/30967135 http://dx.doi.org/10.1186/s12891-019-2540-1 |
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author | Tischer, Tina S. Oye, Sebastian Lenz, Robert Kreuz, Peter Mittelmeier, Wolfram Bader, Rainer Tischer, Thomas |
author_facet | Tischer, Tina S. Oye, Sebastian Lenz, Robert Kreuz, Peter Mittelmeier, Wolfram Bader, Rainer Tischer, Thomas |
author_sort | Tischer, Tina S. |
collection | PubMed |
description | BACKGROUND: Post-operative limb swelling may negatively affect the outcome of arthroscopic surgery and prolong rehabilitation. The aim of this pilot study was to evaluate the effect of compression stockings versus no compression on post-operative swelling and pain in the early post-operative phase. METHODS: A single-centre, randomised controlled trial was performed. Patients who underwent minor knee arthroscopy were randomised to wear class II compression stockings (23-32 mmHg) (CS) or no compression stockings (NCS) immediately post-operatively for ten days. All patients received low molecular weight heparin (LMWH) at prophylactic dosage. The primary outcome variable was post-operative swelling of the limb, quantified by using an optical 3D measurement system (Bodytronic© 600). Pain was rated on a visual analogue scale (VAS). From a total of 76 patients assessed, 19 patients were eligible for final analysis. The trial followed the CONSORT criteria, was registered at clinicaltrial.gov and approved by the local ethics committee. RESULTS: The circumference at the middle thigh (cF) was significantly different between groups at day 10 (p = 0.032; circumference − 1.35 ± 2.15% (CS) and + 0.79 ± 3.71% (NCS)). Significant differences were also noted around the knee (cD) at day 10 (p = 0.026) and a significant trend at cD and at the mid lower leg (cB1) at day 4. The volume of the thigh was also different with marked difference between days 1 and 4 between the two groups (p = 0.021; volume + 0.54 ± 2.03% (CS) and + 4.17 ± 4.67 (NCS)). Pain was lower in compression group (not statistically significant). CONCLUSIONS: Post-operative limb swelling can be reduced significantly by wearing compression stockings in the early post-operative phase when compared to not wearing stockings. This may improve the rehabilitation process after arthroscopic surgery. The optimal duration of compression therapy seems to be between three and ten days. TRIAL REGISTRATION: clinicaltrials.gov (NCT02096562, date of registration 11.11.2013). |
format | Online Article Text |
id | pubmed-6456960 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-64569602019-04-19 Impact of compression stockings on leg swelling after arthroscopy – a prospective randomised pilot study Tischer, Tina S. Oye, Sebastian Lenz, Robert Kreuz, Peter Mittelmeier, Wolfram Bader, Rainer Tischer, Thomas BMC Musculoskelet Disord Research Article BACKGROUND: Post-operative limb swelling may negatively affect the outcome of arthroscopic surgery and prolong rehabilitation. The aim of this pilot study was to evaluate the effect of compression stockings versus no compression on post-operative swelling and pain in the early post-operative phase. METHODS: A single-centre, randomised controlled trial was performed. Patients who underwent minor knee arthroscopy were randomised to wear class II compression stockings (23-32 mmHg) (CS) or no compression stockings (NCS) immediately post-operatively for ten days. All patients received low molecular weight heparin (LMWH) at prophylactic dosage. The primary outcome variable was post-operative swelling of the limb, quantified by using an optical 3D measurement system (Bodytronic© 600). Pain was rated on a visual analogue scale (VAS). From a total of 76 patients assessed, 19 patients were eligible for final analysis. The trial followed the CONSORT criteria, was registered at clinicaltrial.gov and approved by the local ethics committee. RESULTS: The circumference at the middle thigh (cF) was significantly different between groups at day 10 (p = 0.032; circumference − 1.35 ± 2.15% (CS) and + 0.79 ± 3.71% (NCS)). Significant differences were also noted around the knee (cD) at day 10 (p = 0.026) and a significant trend at cD and at the mid lower leg (cB1) at day 4. The volume of the thigh was also different with marked difference between days 1 and 4 between the two groups (p = 0.021; volume + 0.54 ± 2.03% (CS) and + 4.17 ± 4.67 (NCS)). Pain was lower in compression group (not statistically significant). CONCLUSIONS: Post-operative limb swelling can be reduced significantly by wearing compression stockings in the early post-operative phase when compared to not wearing stockings. This may improve the rehabilitation process after arthroscopic surgery. The optimal duration of compression therapy seems to be between three and ten days. TRIAL REGISTRATION: clinicaltrials.gov (NCT02096562, date of registration 11.11.2013). BioMed Central 2019-04-09 /pmc/articles/PMC6456960/ /pubmed/30967135 http://dx.doi.org/10.1186/s12891-019-2540-1 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Tischer, Tina S. Oye, Sebastian Lenz, Robert Kreuz, Peter Mittelmeier, Wolfram Bader, Rainer Tischer, Thomas Impact of compression stockings on leg swelling after arthroscopy – a prospective randomised pilot study |
title | Impact of compression stockings on leg swelling after arthroscopy – a prospective randomised pilot study |
title_full | Impact of compression stockings on leg swelling after arthroscopy – a prospective randomised pilot study |
title_fullStr | Impact of compression stockings on leg swelling after arthroscopy – a prospective randomised pilot study |
title_full_unstemmed | Impact of compression stockings on leg swelling after arthroscopy – a prospective randomised pilot study |
title_short | Impact of compression stockings on leg swelling after arthroscopy – a prospective randomised pilot study |
title_sort | impact of compression stockings on leg swelling after arthroscopy – a prospective randomised pilot study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456960/ https://www.ncbi.nlm.nih.gov/pubmed/30967135 http://dx.doi.org/10.1186/s12891-019-2540-1 |
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