Lymphologischer Kompressionsverband oder Standardbehandlung mit Kältepackung zur Schwellungsreduktion nach Knietotalprothesen-Operation

Stocker, Brigitta; Babendererde, Christine; Rohner-Spengler, Manuela; Müller, Urs W.; Meichtry, André; Luomajoki, Hannu

doi:10.21256/zhaw-2699

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-2699

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Lymphologischer Kompressionsverband oder Standardbehandlung mit Kältepackung zur Schwellungsreduktion nach Knietotalprothesen-Operation
Authors:	Stocker, Brigitta Babendererde, Christine Rohner-Spengler, Manuela Müller, Urs W. Meichtry, André Luomajoki, Hannu
DOI:	10.21256/zhaw-2699 10.1024/1012-5302/a000575
Published in:	Pflege
Volume(Issue):	31
Issue:	1
Page(s):	19
Pages to:	29
Issue Date:	2018
Publisher / Ed. Institution:	Hogrefe
ISSN:	1012-5302 1664-283X
Language:	German
Subjects:	Knietotalprothese; Kryotherapie; Physiotherapie; Schwellung; Compression; Cryo-therapy; Edema; knee arthroplasty; Lymphologischer Kompressionsverband; Multilayer compression bandage; Aged; Aged, 80 and over; Arthroplasty, Replacement, Knee; Cryotherapy; Female; Follow-Up Studies; Humans; Lymphedema; Male; Middle Aged; Pain Measurement; Pilot Projects; Postoperative Complications; Range of Motion, Articular; Single-Blind Method; Switzerland; Walking Speed; Compression Bandages
Subject (DDC):	617.5: Orthopaedic surgery
Abstract:	Background: After total knee arthroplasty (TKA) efficient control and reduction of postoperative edema is of great importance. Aim: The aim of this pilot study (EKNZ 2014 - 225 DRKS00006271) was to investigate the effectiveness of multi-layer compression therapy (MLCT) to reduce edema in the early period after surgery compared to the standard treatment with Cool Pack. Methods: In this randomized controlled pilot trial, sixteen patients after TKA were randomized into an intervention group (IG) or a control group (CG). Circumferential measurements were used to assess edema. Secondary outcomes were range of motion (ROM), pain (numeric rating scale, NRS) and function as measured with the fast Self Paced Walking Test (fSPWT). Results: Clinically relevant differences in edema reduction between the two groups were found in the early postoperative period and at the six weeks follow up. Six days postoperatively the group time interaction (IE) in favor of the IG were −3.8 cm (95 % CI: −5.1; −2.4) when measured 10 cm proximal to the joint space and −2.7 cm (CI: −4.1; −1.3) when measured 5 cm proximally. We further observed differences in secondary outcomes in favor of the CG. Six days postoperatively the IE for knee flexion was –8.3 ° (CI: −22.0; 5.4) and for the fSPWT it was 12.8 seconds (CI: −16.4; 41.3). Six weeks postoperatively these differences diminished. Conclusions: The findings suggest that MLCT could be an alternative treatment to reduce postoperative edema in patients after total knee arthroplasty. Eventually possible negative effects on early knee flexion and function must be considered.
URI:	https://digitalcollection.zhaw.ch/handle/11475/8286
Fulltext version:	Published version
License (according to publishing contract):	CC BY-NC 3.0: Attribution - Non commercial 3.0 Unported
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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Stocker, B., Babendererde, C., Rohner-Spengler, M., Müller, U. W., Meichtry, A., & Luomajoki, H. (2018). Lymphologischer Kompressionsverband oder Standardbehandlung mit Kältepackung zur Schwellungsreduktion nach Knietotalprothesen-Operation. Pflege, 31(1), 19–29. https://doi.org/10.21256/zhaw-2699

Stocker, B. et al. (2018) ‘Lymphologischer Kompressionsverband oder Standardbehandlung mit Kältepackung zur Schwellungsreduktion nach Knietotalprothesen-Operation’, Pflege, 31(1), pp. 19–29. Available at: https://doi.org/10.21256/zhaw-2699.

B. Stocker, C. Babendererde, M. Rohner-Spengler, U. W. Müller, A. Meichtry, and H. Luomajoki, “Lymphologischer Kompressionsverband oder Standardbehandlung mit Kältepackung zur Schwellungsreduktion nach Knietotalprothesen-Operation,” Pflege, vol. 31, no. 1, pp. 19–29, 2018, doi: 10.21256/zhaw-2699.

STOCKER, Brigitta, Christine BABENDERERDE, Manuela ROHNER-SPENGLER, Urs W. MÜLLER, André MEICHTRY und Hannu LUOMAJOKI, 2018. Lymphologischer Kompressionsverband oder Standardbehandlung mit Kältepackung zur Schwellungsreduktion nach Knietotalprothesen-Operation. Pflege. 2018. Bd. 31, Nr. 1, S. 19–29. DOI 10.21256/zhaw-2699

Stocker, Brigitta, Christine Babendererde, Manuela Rohner-Spengler, Urs W. Müller, André Meichtry, and Hannu Luomajoki. 2018. “Lymphologischer Kompressionsverband oder Standardbehandlung mit Kältepackung zur Schwellungsreduktion nach Knietotalprothesen-Operation.” Pflege 31 (1): 19–29. https://doi.org/10.21256/zhaw-2699.

Stocker, Brigitta, et al. “Lymphologischer Kompressionsverband oder Standardbehandlung mit Kältepackung zur Schwellungsreduktion nach Knietotalprothesen-Operation.” Pflege, vol. 31, no. 1, 2018, pp. 19–29, https://doi.org/10.21256/zhaw-2699.