Thromboembolic disease is a potentially fatal complication after high-risk orthopaedic surgery such as total joint arthroplasty and major trauma. Without prophylaxis, pulmonary embolism is known to occur in 1% to 2% of hospitalized patients. Pneumatic foot compression devices have recently been developed to increase lower extremity circulation and, as a result, are effective in thromboembolic disease prophylaxis. Recent studies in total hip and total knee arthroplasty have documented a statistically significant reduction in deep venous thrombosis using these devices. Interestingly, studies utilizing pneumatic foot compression have demonstrated a reduction in lower extremity edema both postoperatively and after significant lower extremity trauma. Pneumatic foot compression appears to be more applicable than the previous mechanical devices, and as a result, compliance appears to have improved.
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Fluid Distribution: Response to Intermittent Pneumatic Compression in People With and Without Primary Lymphedema.
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January 2025
Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, Australia.
Current understanding of changes in fluid distribution in response to the application of compression in primary lymphedema (PLE) is limited. This study measured fluid distribution before and after one application of standardized intermittent pneumatic compression (IPC) in the lower limbs of people with PLE, compared with those without lymphedema. High-frequency ultrasound (HFU) was used to measure dermal fluid, bioimpedance to measure segmental fluid, and percent water content (PWC) to measure fluid at specific anatomical points.
View Article and Find Full Text PDF[Influence of intermittent pneumatic compression on microvasculature condition in lymphedema. Prospective randomized clinical trial].
Vopr Kurortol Fizioter Lech Fiz Kult
December 2024
National Medical Research Center for Rehabilitation and Balneology, Moscow, Russia.
Unlabelled: Lymphedema is a chronic disabling disease that affects 250 million people worldwide. To this date, it has been proven that treatment of this category of patients should be truly integrated - combining surgical, therapeutic methods and recovery procedures.
Objective: To study the influence of intermittent pneumatic compression (IPC) on microvasculature in patients with lymphedema of the lower extremities.
A novel non-pneumatic compression device results in reduced foot and ankle swelling in patients with venous and lymphatic edema.
Vascular
December 2024
Division of Vascular and Endovascular Surgery, NYU Grossman School of Medicine, New York, NY, USA.
Objectives: Non-pneumatic compression devices (NPCDs) rely on shape-memory alloy technology that allows patients to ambulate and remain active during lymphedema treatment. This study examines the effect of the NPCD on foot and ankle swelling.
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Influence of custom dynamic orthoses on tibiotalar joint reaction force and contact stress: A cadaveric study.
J Biomech
December 2024
Department of Orthopedics and Rehabilitation, University of Iowa, 200 Newton Road, Iowa City, IA 52242, United States; Department of Biomedical Engineering, University of Iowa, 200 Newton Road, Iowa City, IA 52242, United States. Electronic address:
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- Post-traumatic osteoarthritis (PTOA) often arises after tibial pilon fractures, leading surgeons to prioritize precise articular reduction, which can extend surgery time.
- A cadaveric study explored how the stiffness of custom dynamic orthoses (CDOs) affects ankle joint reaction force (JRF) and contact stress during the stance phase of walking.
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Intraoperative pneumatic tourniquet application reduces soft-tissue microcirculation, but without affecting wound healing in calcaneal fractures.
Eur J Med Res
September 2024
Medical Faculty, University of Zurich, 8091, Zurich, Switzerland.
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- Wound healing complications are common after calcaneal fractures and are linked to soft-tissue microcirculation, which provides essential nutrients and oxygen.
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