Early trans-tibial oedema control using polymer gel socks

Early trans-tibial oedema control using polymer gel socks
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DOI:
10.1080/03093640308726685
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发表时间:
2003-12-01
影响因子:
1.5
通讯作者:
Freijah, N
Freijah, N
中科院分区:
医学4区
文献类型:
--
作者:
Graf, M;Freijah, N

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本研究的目的是确定是否早期经胫骨水肿控制,在安装收缩剂之前使用聚合物凝胶袜,可以增强经胫骨残端体积减少。16名单侧经胫骨截肢的成年人被随机分为两组,并对他们的残肢进行基线体积测量。对照组遵循正常的可移动刚性敷料程序,而实验组则穿着聚合物凝胶袜子和可移动刚性敷料。当伤口愈合允许安装收缩剂时,停止使用聚合物袜,并采取残肢体积测量。在铸造假体和最终残肢体积测量之前,收缩剂至少佩戴2天。体积是通过从树桩上取水填充铸件来测量的,并以基线体积的百分比和计算的体积减少率来计算。采用两个不等方差t检验(2-tail, alpha=0.05)比较各组之间的体积缩小百分率,基线到收缩拟合和基线到铸造的试验期。从基线到收缩超过95%置信限期间观察到统计学差异(p
The aim of this investigation was to determine if early trans-tibial oedema control, by polymer gel socks prior to the fitting of a shrinker, could enhance trans-tibial stump volume reduction.Sixteen (16) adults, following unilateral transtibial amputation, were randomly allocated into 2 groups and baseline volume measurements taken of their stumps. The control group followed the normal removable rigid dressing programme, while the experimental group wore a polymer gel sock in conjunction with the removable rigid dressing.When wound healing permitted fitting of a shrinker, use of the polymer sock was discontinued and a stump volume measurement was taken. The shrinker was worn for a minimum of 2 days before casting for a prosthesis and a final stump volume measurement taken.Volumes were measured by water filling casts taken of the stump and calculated as a percentage of the baseline volume and the rate of volume reduction calculated.Two t-tests for unequal variance (2-tail, alpha=0.05) were used to compare the rate of percentage volume reduction between the groups, for the trial period of baseline to shrinker fitting and baseline to casting. A statistical difference was observed for the period of baseline to shrinker exceeding the 95% confidence limit (p