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Wound complications after ankle surgery. Does compression treatment work? A randomized, controlled trial.

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Updated: Feb 28, 2026

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Compression therapy after ankle fracture surgery: a systematic review.

R Winge1, L Bayer2, H Gottlieb3

  • 1Department of Orthopedic Surgery, Nordsjællands Hospital, Dyrehavevej 29, 3400, Hillerød, Denmark. rikkewinge@gmail.com.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|June 19, 2017
PubMed
Summary

Compression therapy aids ankle fracture recovery by reducing swelling and pain. However, more research is needed to confirm benefits for wound healing, length of stay, and time to surgery due to study limitations.

Keywords:
Ankle fractureCompression treatmentEdemaLength of hospitalizationPainWound complications

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Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Rehabilitation Medicine

Background:

  • Ankle fractures are common injuries requiring effective perioperative management.
  • Optimizing patient outcomes, including pain, mobility, and healing, is crucial for ankle fracture care.
  • Compression therapy is a potential intervention to improve the perioperative course of ankle fractures.

Purpose of the Study:

  • To systematically review the effects of compression treatment on the perioperative course of ankle fractures.
  • To evaluate compression therapy's impact on edema, pain, ankle joint mobility, wound healing, length of stay (LOS), and time to surgery (TTS).
  • To provide evidence-based recommendations for clinicians regarding compression therapy in standard ankle fracture care.

Main Methods:

  • Systematic literature search for studies on adult patients with unstable ankle fractures undergoing surgery.
  • Inclusion of studies evaluating intermittent pneumatic compression, compression bandages, or stockings.
  • Narrative synthesis of data from included studies, with systematic bias assessment.

Main Results:

  • Seven of eight included studies reported a significant effect on edema reduction.
  • Two studies showed a significant reduction in pain, and one noted improved ankle mobility.
  • Two studies indicated positive effects on wound healing, one on LOS, and two on TTS, though methodological limitations were noted.

Conclusions:

  • Compression therapy demonstrates a beneficial effect on edema reduction in ankle fractures.
  • There is probable positive impact on pain and ankle joint mobility, warranting further investigation.
  • Solid conclusions on wound healing, LOS, and TTS are limited by methodological shortcomings in current literature.