Pneumatic Compression Combined with Standard Treatment after Total Hip Arthroplasty and Its Effects on Edema of the Operated Limb and on Physical Outcomes: A Pilot Clinical Randomized Controlled Study
Total hip arthroplasty (THA) is one of the most successful orthopedic procedures and is highly effective at improving function and quality of life. However, patients commonly experience edema immediately after hospitalization and also after discharge, which can lead to health consequences and a lowe...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-06-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/12/12/4164 |
| _version_ | 1797594078696701952 |
|---|---|
| author | Vittoria Carnevale Pellino Alessandro Gatti Matteo Vandoni Pamela Patanè Massimiliano Febbi Stefania Ballarin Caterina Cavallo Luca Marin |
| author_facet | Vittoria Carnevale Pellino Alessandro Gatti Matteo Vandoni Pamela Patanè Massimiliano Febbi Stefania Ballarin Caterina Cavallo Luca Marin |
| author_sort | Vittoria Carnevale Pellino |
| collection | DOAJ |
| description | Total hip arthroplasty (THA) is one of the most successful orthopedic procedures and is highly effective at improving function and quality of life. However, patients commonly experience edema immediately after hospitalization and also after discharge, which can lead to health consequences and a lower quality of life. For these reasons, the aim of this study (NCT05312060) was to evaluate the effectiveness of a specific intermittent leg pneumatic compression on lower limb edema and physical outcomes in patients after total hip arthroplasty, compared to standard conservative treatment. A total of 47 patients were enrolled and randomly allocated into two groups: the pneumatic compression group (PG = 24) and the control group (CG = 23). The CG performed the standard venous thromboembolism therapy, which included pharmacological prophylaxis, compressive stockings, and electrostimulation, while the PG combined pneumatic compression with standard VTE therapy. We evaluated thigh and calf circumferences, knee and ankle ranges of motion, pain, and walking autonomy. Our results showed a greater reduction in thigh and calf circumferences for PG (<i>p</i> < 0.001), while other outcomes were similar for the two groups (<i>p</i> > 0.05). The combination of standard therapy with pneumatic leg compression was more effective at reducing lower limb edema and thigh and calf circumferences than standard treatment. Our results suggest that pressotherapy treatment is a valuable and efficient option for managing lower limb edema after THA. |
| first_indexed | 2024-03-11T02:18:37Z |
| format | Article |
| id | doaj.art-a526f00f548a44ea8f73e73ab980d3ab |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T02:18:37Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-a526f00f548a44ea8f73e73ab980d3ab2023-11-18T11:01:52ZengMDPI AGJournal of Clinical Medicine2077-03832023-06-011212416410.3390/jcm12124164Pneumatic Compression Combined with Standard Treatment after Total Hip Arthroplasty and Its Effects on Edema of the Operated Limb and on Physical Outcomes: A Pilot Clinical Randomized Controlled StudyVittoria Carnevale Pellino0Alessandro Gatti1Matteo Vandoni2Pamela Patanè3Massimiliano Febbi4Stefania Ballarin5Caterina Cavallo6Luca Marin7Laboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine and Forensic Science, University of Pavia, 27100 Pavia, ItalyLaboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine and Forensic Science, University of Pavia, 27100 Pavia, ItalyLaboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine and Forensic Science, University of Pavia, 27100 Pavia, ItalyIndustrial Engineering Department, University of Tor Vergata, 00133 Rome, ItalyLaboratory for Rehabilitation Medicine and Sport (LARMS), 00133 Rome, ItalyLaboratory for Rehabilitation Medicine and Sport (LARMS), 00133 Rome, ItalyLuxembourg Health & Sport Sciences Research Institute A.s.b.l., 4530 Luxembourg, LuxembourgLaboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine and Forensic Science, University of Pavia, 27100 Pavia, ItalyTotal hip arthroplasty (THA) is one of the most successful orthopedic procedures and is highly effective at improving function and quality of life. However, patients commonly experience edema immediately after hospitalization and also after discharge, which can lead to health consequences and a lower quality of life. For these reasons, the aim of this study (NCT05312060) was to evaluate the effectiveness of a specific intermittent leg pneumatic compression on lower limb edema and physical outcomes in patients after total hip arthroplasty, compared to standard conservative treatment. A total of 47 patients were enrolled and randomly allocated into two groups: the pneumatic compression group (PG = 24) and the control group (CG = 23). The CG performed the standard venous thromboembolism therapy, which included pharmacological prophylaxis, compressive stockings, and electrostimulation, while the PG combined pneumatic compression with standard VTE therapy. We evaluated thigh and calf circumferences, knee and ankle ranges of motion, pain, and walking autonomy. Our results showed a greater reduction in thigh and calf circumferences for PG (<i>p</i> < 0.001), while other outcomes were similar for the two groups (<i>p</i> > 0.05). The combination of standard therapy with pneumatic leg compression was more effective at reducing lower limb edema and thigh and calf circumferences than standard treatment. Our results suggest that pressotherapy treatment is a valuable and efficient option for managing lower limb edema after THA.https://www.mdpi.com/2077-0383/12/12/4164leg pneumatic compressiontotal hip arthroplastylower limb edema |
| spellingShingle | Vittoria Carnevale Pellino Alessandro Gatti Matteo Vandoni Pamela Patanè Massimiliano Febbi Stefania Ballarin Caterina Cavallo Luca Marin Pneumatic Compression Combined with Standard Treatment after Total Hip Arthroplasty and Its Effects on Edema of the Operated Limb and on Physical Outcomes: A Pilot Clinical Randomized Controlled Study Journal of Clinical Medicine leg pneumatic compression total hip arthroplasty lower limb edema |
| title | Pneumatic Compression Combined with Standard Treatment after Total Hip Arthroplasty and Its Effects on Edema of the Operated Limb and on Physical Outcomes: A Pilot Clinical Randomized Controlled Study |
| title_full | Pneumatic Compression Combined with Standard Treatment after Total Hip Arthroplasty and Its Effects on Edema of the Operated Limb and on Physical Outcomes: A Pilot Clinical Randomized Controlled Study |
| title_fullStr | Pneumatic Compression Combined with Standard Treatment after Total Hip Arthroplasty and Its Effects on Edema of the Operated Limb and on Physical Outcomes: A Pilot Clinical Randomized Controlled Study |
| title_full_unstemmed | Pneumatic Compression Combined with Standard Treatment after Total Hip Arthroplasty and Its Effects on Edema of the Operated Limb and on Physical Outcomes: A Pilot Clinical Randomized Controlled Study |
| title_short | Pneumatic Compression Combined with Standard Treatment after Total Hip Arthroplasty and Its Effects on Edema of the Operated Limb and on Physical Outcomes: A Pilot Clinical Randomized Controlled Study |
| title_sort | pneumatic compression combined with standard treatment after total hip arthroplasty and its effects on edema of the operated limb and on physical outcomes a pilot clinical randomized controlled study |
| topic | leg pneumatic compression total hip arthroplasty lower limb edema |
| url | https://www.mdpi.com/2077-0383/12/12/4164 |
| work_keys_str_mv | AT vittoriacarnevalepellino pneumaticcompressioncombinedwithstandardtreatmentaftertotalhiparthroplastyanditseffectsonedemaoftheoperatedlimbandonphysicaloutcomesapilotclinicalrandomizedcontrolledstudy AT alessandrogatti pneumaticcompressioncombinedwithstandardtreatmentaftertotalhiparthroplastyanditseffectsonedemaoftheoperatedlimbandonphysicaloutcomesapilotclinicalrandomizedcontrolledstudy AT matteovandoni pneumaticcompressioncombinedwithstandardtreatmentaftertotalhiparthroplastyanditseffectsonedemaoftheoperatedlimbandonphysicaloutcomesapilotclinicalrandomizedcontrolledstudy AT pamelapatane pneumaticcompressioncombinedwithstandardtreatmentaftertotalhiparthroplastyanditseffectsonedemaoftheoperatedlimbandonphysicaloutcomesapilotclinicalrandomizedcontrolledstudy AT massimilianofebbi pneumaticcompressioncombinedwithstandardtreatmentaftertotalhiparthroplastyanditseffectsonedemaoftheoperatedlimbandonphysicaloutcomesapilotclinicalrandomizedcontrolledstudy AT stefaniaballarin pneumaticcompressioncombinedwithstandardtreatmentaftertotalhiparthroplastyanditseffectsonedemaoftheoperatedlimbandonphysicaloutcomesapilotclinicalrandomizedcontrolledstudy AT caterinacavallo pneumaticcompressioncombinedwithstandardtreatmentaftertotalhiparthroplastyanditseffectsonedemaoftheoperatedlimbandonphysicaloutcomesapilotclinicalrandomizedcontrolledstudy AT lucamarin pneumaticcompressioncombinedwithstandardtreatmentaftertotalhiparthroplastyanditseffectsonedemaoftheoperatedlimbandonphysicaloutcomesapilotclinicalrandomizedcontrolledstudy |