Impact of compression stockings on wound healing and complications in ankle fractures: A retrospective cohort study.

Autor: Abrahamsen C; Department of Orthopaedic Surgery and Traumatology, Kolding Hospital - part of Hospital Lillebaelt, Denmark; Department for Regional Health Research, University of Southern Denmark, Denmark; Department for Public Health, University of Southern Denmark, Denmark. Electronic address: cabrahamsen@health.sdu.dk., Stork-Hansen J; Department of Orthopaedic Surgery and Traumatology, Kolding Hospital - part of Hospital Lillebaelt, Denmark. Electronic address: Jesper.Stork-Hansen2@rsyd.dk., Joanroy R; Department of Orthopaedic Surgery and Traumatology, Kolding Hospital - part of Hospital Lillebaelt, Denmark. Electronic address: Rajzan.Joanroy2@rsyd.dk., Arndt KB; Department of Orthopaedic Surgery and Traumatology, Kolding Hospital - part of Hospital Lillebaelt, Denmark. Electronic address: Kristine.Bollerup.Arndt@rsyd.dk., Jordy A; Department of Orthopaedic Surgery and Traumatology, Kolding Hospital - part of Hospital Lillebaelt, Denmark. Electronic address: Anders.Jordy@rsyd.dk., Viberg B; Department of Orthopaedic Surgery and Traumatology, Kolding Hospital - part of Hospital Lillebaelt, Denmark; Department for Regional Health Research, University of Southern Denmark, Denmark. Electronic address: bjarke.viberg@rsyd.dk.
Jazyk: angličtina
Zdroj: International journal of orthopaedic and trauma nursing [Int J Orthop Trauma Nurs] 2021 Nov; Vol. 43, pp. 100866. Date of Electronic Publication: 2021 May 05.
DOI: 10.1016/j.ijotn.2021.100866
Abstrakt: Introduction: Ankle fractures treated with open reduction and internal fixation (ORIF) have a high incidence of wound complications. By reducing oedema, wound complications can, in theory, be minimized. This study investigates the impact of compression stocking (CS) on such complications after treatment with ORIF.
Methods: Compression stockings were introduced as a standard postoperative treatment for all ankle fracture patients treated operatively with ORIF on February 1, 2013. Data were retrieved from medical records two years prior to and following the introduction date. The primary outcome was wound healing status after six weeks and secondary outcomes were wound-healing and major complications up to one year after surgery.
Results: In total, 187 patients were studied, 74 in the CS group and 113 in the control (non-CS) group. Six weeks after the operation, wound-healing problems occurred in 23% and 13% of the patients in the CS group and the non-CS group (p < 0.0001) respectively. In total, 34% and 19% of the patients in the CS group and non-CS group experienced wound-healing complications one year after the operation (p < 0.02) respectively. Furthermore, major complications within one year occurred in 3% and 4% of patients respectively (p < 0.77).
Conclusion: An increase in wound-healing complications after six weeks and one year when using CS was found. However, owing to baseline differences in the two groups, it is only possible to caution against the use of CS.
(Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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