桡骨远端骨折掌侧钢板固定术后气压压迫的效果：一项随机对照试验

Effect of postoperative pneumatic compression after volar plate fixation of distal radial fractures: a randomized controlled trial.

作者信息

Alkner Björn A, Halvardsson Christina, Bråkenhielm Gustaf, Eskilsson Therese, Andersson Erika, Fritzell Peter

机构信息

1 Department of Orthopaedics, Eksjö, Region Jönköping County and Department of Clinical and Experimental Medicine, Linköping University, Sweden.

2 Department of Occupational Therapy, Falun Hospital, Falun, Sweden.

出版信息

J Hand Surg Eur Vol. 2018 Oct;43(8):825-831. doi: 10.1177/1753193418760493. Epub 2018 Mar 4.

DOI:10.1177/1753193418760493

PMID:29504445

Abstract

UNLABELLED

We investigated the difference between postoperative rehabilitation with or without adjunctive intermittent pneumatic compression therapy following distal radial fracture treated with volar plating. A total of 115 patients were randomized to a control or to an experimental group. After 4 weeks of immobilization the experimental group received intermittent pneumatic compression therapy in addition to conventional postoperative rehabilitation. Primary outcome up to 1 year postoperatively was assessed using the Canadian Occupational Performance Measure. No significant differences between groups were found. There were no clinically relevant differences regarding the secondary outcome measures swelling, strength, pain and flexibility. We conclude that postoperative intermittent pneumatic compression treatment had no major benefits. The results of the present study do not support general use of intermittent pneumatic compression initiated 4 weeks following volar plating surgery for distal radial fracture.

LEVEL OF EVIDENCE

摘要

未标注

我们研究了采用掌侧钢板治疗桡骨远端骨折后，术后康复联合或不联合间歇性气动压迫疗法之间的差异。总共115例患者被随机分为对照组或试验组。固定4周后，试验组除接受常规术后康复外，还接受间歇性气动压迫疗法。使用加拿大职业性能测量量表评估术后长达1年的主要结局。未发现两组之间存在显著差异。在次要结局指标肿胀、力量、疼痛和灵活性方面，也没有临床相关差异。我们得出结论，术后间歇性气动压迫治疗没有显著益处。本研究结果不支持在桡骨远端骨折掌侧钢板手术后4周开始普遍使用间歇性气动压迫疗法。