Ad A. Hendrickx, PT, Center of Expertise for Lymphovascular Medicine, Nij Smellinghe Hospital, Drachten, the Netherlands; Research and Innovation Group in Health Care and Nursing, Hanze University of Applied Sciences, Groningen, the Netherlands; and Department of Health Psychology, University Medical Center Groningen, University of Groningen, the Netherlands.
Wim P. Krijnen, PhD, Research and Innovation Group in Health Care and Nursing, Hanze University of Applied Sciences, Groningen, the Netherlands.
Orthop Nurs. 2020 Nov/Dec;39(6):377-383. doi: 10.1097/NOR.0000000000000709.
Swelling is a common phenomenon after total knee arthroplasty, with potential for negative impact on the rehabilitation process and final outcome. The aim of this study was to investigate the effectiveness of a new compression protocol with a self-adjustable, nonelastic compression wrap for the knee region. This study was conducted as a prospective comparative study. Total leg volume and the circumference of the knee at three levels were compared between groups. The results of our study suggest that the application of the new compression protocol has no effect on swelling in the acute postoperative phase (0-2 days) but reduces swelling at Day 14 within the subacute phase. The observed positive effect of the compression protocol could be of clinical importance in the subacute phase as well as for a subgroup of patients suffering from aberrant quadriceps weakness concomitant with knee swelling.
肿胀是全膝关节置换术后的常见现象，可能对康复过程和最终结果产生负面影响。本研究旨在探讨一种新的压缩方案对膝关节区域的有效性，该方案采用一种自调节、无弹性的压缩绷带。本研究为前瞻性比较研究。对两组患者的总腿部体积和膝关节三个水平的周长进行了比较。我们的研究结果表明，在急性术后阶段（0-2 天），新压缩方案的应用对肿胀没有影响，但在亚急性阶段第 14 天可减少肿胀。在亚急性阶段以及伴有膝关节肿胀的股四头肌异常无力的患者亚组中，观察到压缩方案的积极效果具有重要的临床意义。
