Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-2699
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
Published in : Pflege
Issue : 31
Pages : 19
Pages to: 29
Publisher / Ed. Institution : Hogrefe
Issue Date: 2018
License (according to publishing contract) : CC BY-NC 3.0: Namensnennung - Nicht kommerziell 3.0 Unported
Type of review: Peer review (Publication)
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.
Departement: Gesundheit
Organisational Unit: Institute of Physiotherapy (IPT)
Publication type: Article in scientific Journal
DOI : 10.1024/1012-5302/a000575
10.21256/zhaw-2699
ISSN: 1012-5302
1664-283X
URI: https://digitalcollection.zhaw.ch/handle/11475/8286
Appears in Collections:Publikationen Gesundheit

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