Impact of compression stockings on leg swelling after arthroscopy – a prospective randomised pilot study
Abstract 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...
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| Format: | Article |
| Language: | English |
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BMC
2019-04-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-019-2540-1 |
| _version_ | 1818870280709210112 |
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| author | Tina S. Tischer Sebastian Oye Robert Lenz Peter Kreuz Wolfram Mittelmeier Rainer Bader Thomas Tischer |
| author_facet | Tina S. Tischer Sebastian Oye Robert Lenz Peter Kreuz Wolfram Mittelmeier Rainer Bader Thomas Tischer |
| author_sort | Tina S. Tischer |
| collection | DOAJ |
| description | Abstract 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). |
| first_indexed | 2024-12-19T12:04:31Z |
| format | Article |
| id | doaj.art-d74af821eb434dfb84ac7c50e7ca2e4a |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-19T12:04:31Z |
| publishDate | 2019-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-d74af821eb434dfb84ac7c50e7ca2e4a2022-12-21T20:22:23ZengBMCBMC Musculoskeletal Disorders1471-24742019-04-012011810.1186/s12891-019-2540-1Impact of compression stockings on leg swelling after arthroscopy – a prospective randomised pilot studyTina S. Tischer0Sebastian Oye1Robert Lenz2Peter Kreuz3Wolfram Mittelmeier4Rainer Bader5Thomas Tischer6Department of Cardiology, University Medicine RostockDepartment of Urology, Asklepios Klinik BarmbekDepartment of Orthopedics, University Medicine RostockDepartment of Orthopedics, University Medicine RostockDepartment of Orthopedics, University Medicine RostockDepartment of Orthopedics, University Medicine RostockDepartment of Orthopedics, University Medicine RostockAbstract 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).http://link.springer.com/article/10.1186/s12891-019-2540-1Post-operative swellingKnee arthroscopyComplicationsCompression therapy |
| spellingShingle | Tina S. Tischer Sebastian Oye Robert Lenz Peter Kreuz Wolfram Mittelmeier Rainer Bader Thomas Tischer Impact of compression stockings on leg swelling after arthroscopy – a prospective randomised pilot study BMC Musculoskeletal Disorders Post-operative swelling Knee arthroscopy Complications Compression therapy |
| 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 | Post-operative swelling Knee arthroscopy Complications Compression therapy |
| url | http://link.springer.com/article/10.1186/s12891-019-2540-1 |
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