Comparison of the effectiveness of different postoperative edema control methods in below knee amputees

Abstract

Purpose: The classical elastic bandage (EB) application is a common method used in edema control in amputees. In recent years, however, complex decongestive physiotherapy (CDP) is found to be an effective approach in the treatment of edema. This study was planned to compare effectiveness of EB and CDP technique on the edema control and the period of transition to permanent prosthesis in below knee amputees. Methods: Twenty unilateral below knee amputees were included in the study. Ten amputees were allocated to the EB group and the other 10 were allocated to the CDP application with randomization. Intact and amputated limbs were assessed using pre and post treatment circumferential measurements in both groups. The duration of stay in the hospital, duration of transition to permanent prostheses, duration of the change in the first socket, phantom limb pain and stump pain were also recorded. Results: Significant differences were found in terms of transition period to permanent prosthesis and duration of the change in the first socket in favor of CDP group (p<0.05) while there was no difference in the duration of stay in hospital between the groups (p>0.05). Circumferential measurement comparisons did not show any difference between the pre and post treatment of the mid-thigh results in CDP group (p>0.05), while all other measurements showed differences (p<0.05). There were no differences between the groups in terms of phantom limb pain and stump pain (p>0.05). Conclusion: Reducing the transition period to permanent prosthesis and duration of the change in the first socket with CDP showed that CDP may be used as an effective method for below knee amputees

Keywords

• Amputees, Edema, Elastic bandage, Physiotherapy

Diz altı amputelerde farklı postoperatif ödem kontrol yöntemlerinin etkinliğinin karşılaştırılması

Öz

Amaç: Amputelerde ödem kontrolünde elastik bandaj (EB) yöntemi yaygın olarak kullanılmaktadır. Son yıllarda, ödem tedavisinde etkin bir yaklaşım olarak kompleks boşaltıcı fizyoterapi (KBF) uygulamaları da yapılmaktadır. Çalışmamız, diz altı amputelerde EB ve KBF yöntemlerinin, ödem kontrolü ve kalıcı proteze geçiş süresine etkilerini karşılaştırmak amacıyla planlandı. Yöntem: Çalışmaya, 20 unilateral travmatik diz altı ampute dahil edildi. Amputeler

Anahtar Kelimeler

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