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Related Experiment Videos

Pneumatic compression hemodynamics in total hip arthroplasty.

G H Westrich1, L M Specht, N E Sharrock

  • 1Hospital for Special Surgery, New York, NY 10021, USA.

Clinical Orthopaedics and Related Research
|March 30, 2000
PubMed
Summary

Pneumatic compression devices and dorsoplantar flexion can improve blood flow after hip surgery. Calf and foot pumps with rapid inflation were most effective for increasing peak venous velocity.

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Reply by Authors.

The Journal of urology·2020

Area of Science:

  • Vascular Surgery
  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Thromboembolic disease is a significant risk following total hip arthroplasty.
  • Mechanical prophylaxis, including pneumatic compression devices (PCDs), is crucial for prevention.
  • Patient compliance and device efficacy are key factors in successful prophylaxis.

Purpose of the Study:

  • To compare the effectiveness of various PCDs and active dorsoplantar flexion in improving venous blood flow.
  • To identify which compression parameters (frequency, rate, location, type) are most beneficial.
  • To inform the selection of optimal devices for post-operative venous thromboembolism prophylaxis.

Main Methods:

  • A crossover study involving 10 patients undergoing total hip arthroplasty.

Related Experiment Videos

  • Duplex ultrasound assessed peak venous velocity and volume in the greater saphenous and common femoral veins.
  • Randomized testing of multiple PCDs (foot, calf, foot/calf, calf/thigh) and active dorsoplantar flexion.
  • Main Results:

    • Pulsatile calf and foot/calf PCDs with rapid inflation significantly increased peak venous velocity.
    • Calf and thigh compression demonstrated the greatest increase in venous volume.
    • Device simplicity and ease of application correlate with potential for greater success.

    Conclusions:

    • Specific PCD designs and active dorsoplantar flexion can enhance venous return post-total hip arthroplasty.
    • Device characteristics, such as rapid, pulsatile compression, influence efficacy.
    • Simpler, user-friendly devices may improve compliance and reduce thromboembolic risk.