Department of Plastic and Reconstructive Surgery, University College Hospital Galway, Galway, Ireland.
Ir J Med Sci. 2011 Jun;180(2):601-2. doi: 10.1007/s11845-009-0384-7. Epub 2009 Jul 25.
Thromboembolic deterrent (TED) stockings are commonly used in the prevention of deep venous thrombosis. We would like to highlight a potential complication associated with the use of TED stocking. A 42-year-old paraplegic gentleman suffering from a complicated Ischial ulcer was admitted for debridement and closure with a fasciocutaneous rotational flap. Two weeks later, new pressure sores of the popliteal fossae of both his legs had developed. Clinical assessment revealed linear pressure sores in the presence of poorly fitted, tight, thigh-length TED stockings, which had rolled up at the popliteal fossa creating a focal linear compression in the presence of bilateral spastic flexed knees in this paraplegic patient. The TED stockings were immediately discontinued and the pressure sores were managed with regular wound care and dressing change.
We would like to highlight the complications that could arise amongst paraplegic patients with the widespread use of TED stockings.
血栓栓塞预防（TED）长袜常用于预防深静脉血栓形成。我们想强调与 TED 长袜使用相关的一个潜在并发症。一位 42 岁的截瘫男子患有复杂的坐骨溃疡，入院接受清创术和筋膜皮瓣旋转闭合术。两周后，他的双腿出现新的腘窝压疮。临床评估显示，在不太合身、紧绷的大腿长 TED 长袜的存在下出现线性压疮，这些长袜在腘窝处卷起，导致双侧痉挛性弯曲膝盖的截瘫患者出现局部线性压迫。立即停止使用 TED 长袜，并通过常规伤口护理和换药来处理压疮。
我们想强调在广泛使用 TED 长袜的情况下，截瘫患者可能出现的并发症。
