Does postoperative hand elevation reduce swelling? A randomized study

The Journal of Hand Surgery, European Volume
R P BakerY Robertson

Abstract

The purpose of this study was to assess the effect of limb elevation on hand swelling after surgery. We prospectively randomized 113 patients undergoing fasciectomy or a trapeziectomy into one of two groups. The first group had the hand elevated postoperatively and the hands of the second group were not elevated. Hand swelling was assessed using a volumetric method. Although the swelling was less in the elevated group this did not reach statistical significance. Subgroup analysis revealed no further significant differences. There were no complications in patients who did not have limb elevation. This study does not support the routine use of elevation for 24 hours after fasciectomy for Dupuytren's disease and trapeziectomy to reduce hand swelling.

References

Feb 1, 1977·The Hand·C M Ward
Nov 1, 1988·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M Mars
Apr 9, 2001·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·T HusbyL A Skoglund
Sep 1, 2004·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·D J FaganN R C Clay

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Citations

Mar 19, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Geraldine DarmaninAbhilash Jain
Aug 12, 2015·PM & R : the Journal of Injury, Function, and Rehabilitation·Ariel A PalancaJulius A Bishop
Oct 8, 2014·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Roshan VijayanHarry J C R Belcher
Dec 19, 2014·Annals of the Royal College of Surgeons of England·Y V Joshi, A Smith
Dec 19, 2014·Annals of the Royal College of Surgeons of England·C R DavisA N M Fleming
Oct 18, 2019·The Journal of Hand Surgery, European Volume·Maartje KroezePeter Houpt
Nov 7, 2019·The Journal of Hand Surgery Asian-Pacific Volume·Kunihide MuraokaJeffrey Yao

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