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Compressive Stockings After Hindfoot and Ankle Surgery
Florian Grubhofer1, Sabrina Catanzaro1, Regula Schüpbach1
11 Department of Orthopaedics, University of Zurich, Balgrist University Hospital, Zürich, Switzerland.
Foot & Ankle International
|December 2, 2017
Summary
Compressive stockings (CS) after hindfoot surgery did not improve patient outcomes like swelling or pain. Compliance with wearing the stockings was low, and higher compliance did not lead to better clinical results.
Area of Science:
- Orthopedics
- Vascular Surgery
Background:
- Swelling and pain are common post-foot and ankle surgery.
- Compressive stockings (CS) are a potential treatment to improve outcomes.
Purpose of the Study:
- To analyze the clinical effect of CS after hindfoot and ankle surgery.
- To evaluate CS-wearing compliance using implanted sensors.
Main Methods:
- A randomized controlled trial involving 87 patients.
- Primary endpoints: ankle swelling, pain (VAS), quality of life (SF-36), and AOFAS score.
- Secondary endpoints: CS wearing time and compliance rate.
Main Results:
- No statistical differences in ankle swelling, pain, SF-36, or AOFAS scores between CS and control groups at 12 weeks.
- Mean CS wearing compliance was 65% (136 hours).
- High compliance patients did not show significantly better clinical results than low compliance patients.
Conclusions:
- CS therapy after hindfoot surgery showed low compliance and did not improve ankle swelling, function, pain, or quality of life.
- High compliance did not correlate with better clinical outcomes compared to low compliance.
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