Venous perfusion assist system has no additional effect compared to simple elevation on post-operative edema in patients with distal radial fracture treated with volar locking plate fixation: A randomized controlled trial.
Journal
Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
ISSN: 1436-2023
Titre abrégé: J Orthop Sci
Pays: Japan
ID NLM: 9604934
Informations de publication
Date de publication:
May 2019
May 2019
Historique:
received:
02
07
2018
revised:
05
10
2018
accepted:
14
11
2018
pubmed:
14
12
2018
medline:
18
12
2019
entrez:
8
12
2018
Statut:
ppublish
Résumé
While limb elevation and other methods for reducing hand edema are commonly used in clinical practice, alternative methods, such as compression and venous perfusion assist system (VPAS), have emerged. This study compared the efficacy of VPAS to limb elevation in decreasing hand edema after surgery for distal radial fracture (DRF) treated by a volar locking plate (VLP). A randomized controlled trial was conducted in 102 patients to compare VPAS and elevation methods for edema reduction following VLP fixation for DRF. Changes in edema were measured using the tape measure method along with other parameters on the next day and at one, three, six, and 12 weeks postoperatively. There were no significant differences in edema reduction or other factors between the VPAS and elevation groups at any measurement point. VPAS appears to confer no measurable advantage over management with elevation for edema reduction after VLP fixation of DRF. This study was registered at the University Hospital Medical Information Network Clinical Trials Registry (UMIN000015640).
Sections du résumé
BACKGROUND
BACKGROUND
While limb elevation and other methods for reducing hand edema are commonly used in clinical practice, alternative methods, such as compression and venous perfusion assist system (VPAS), have emerged. This study compared the efficacy of VPAS to limb elevation in decreasing hand edema after surgery for distal radial fracture (DRF) treated by a volar locking plate (VLP).
METHODS
METHODS
A randomized controlled trial was conducted in 102 patients to compare VPAS and elevation methods for edema reduction following VLP fixation for DRF. Changes in edema were measured using the tape measure method along with other parameters on the next day and at one, three, six, and 12 weeks postoperatively.
RESULTS
RESULTS
There were no significant differences in edema reduction or other factors between the VPAS and elevation groups at any measurement point.
CONCLUSIONS
CONCLUSIONS
VPAS appears to confer no measurable advantage over management with elevation for edema reduction after VLP fixation of DRF.
TRIALS REGISTRY
BACKGROUND
This study was registered at the University Hospital Medical Information Network Clinical Trials Registry (UMIN000015640).
Identifiants
pubmed: 30522925
pii: S0949-2658(18)30333-6
doi: 10.1016/j.jos.2018.11.009
pii:
doi:
Types de publication
Comparative Study
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
441-446Informations de copyright
Copyright © 2018 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.