Does an Elastic Compression Bandage Provide Any Benefit After Primary TKA?

Clinical Orthopaedics and Related Research
Christopher N MatthewsWilliam J Hozack

Abstract

Compression bandages often are used after TKA to reduce swelling. However, the degree to which they are helpful has not been well characterized. The purpose of this study was to determine whether use of a compression bandage after TKA was associated with (1) less leg swelling (our primary endpoint); or (2) secondary study endpoints, including improved ROM of flexion and extension, lower visual analog scale (VAS) pain scores for worst pain and pain during physical therapy just before surgery, postoperative day (POD) 1, POD 2, and POD 28, or fewer wound complications within 90 days of surgery. A prospective, single-center, two-arm, parallel-group randomized controlled trial was conducted on 51 patients undergoing simultaneous, bilateral, primary TKA between February 2015 and August 2016. Patients were excluded if they had a body mass index > 40 kg/m, a history of a venous thromboembolic event, an allergy to the dressing or compression bandage, or lymphedema in one or both legs. Participants averaged a mean age of 62 years (range, 40-83 years). In all patients, we released the tourniquet after full wound closure, and we applied an Aquacel dressing to both limbs. Patients were randomized by opaque envelope, and the compression band...Continue Reading

References

Mar 25, 2005·Acta Orthopaedica·Charalambos CharalambidesAndrew G Cobb
Dec 17, 2008·Acta Orthopaedica·Lasse Ø AndersenHenrik Kehlet
Mar 29, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Stig MunkTorben B Hansen
Jan 12, 2013·Clinical Orthopaedics and Related Research·Piya Pinsornsak, Sukanis Chumchuen
Mar 17, 2015·The Journal of Arthroplasty·Snir HellerWilliam J Hozack

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

Related Papers

Clinical Orthopaedics and Related Research
Jeya Venkatesh PalanisamyTae Kyun Kim
Clinical Orthopaedics and Related Research
Eoin McCarthy DeeringAli Abdulkarim
Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery
Xiaoling HouLingli Li
© 2022 Meta ULC. All rights reserved