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Comparison of Removable Rigid Dressing and Elastic Bandage for Residual Limb Maturation in Transtibial Amputees: A
Nantawan Koonalinthip1, Aungsumalin Sukthongsa2, Siriporn Janchai2
1Department of Rehabilitation Medicine, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand; Department of Rehabilitation Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Objective:
To determine the effect of a removable rigid dressing (RRD) on the time to residual limb maturation compared with elastic bandage (EB) in transtibial amputees.
Design:
Experimental single-blinded (assessor-blinded) randomized controlled trial.
Setting:
Department of Rehabilitation Medicine, King Chulalongkorn Memorial Hospital.
Participants:
Transtibial amputees (N=25) with immature residual limb.
Intervention:
Participants were allocated to use RRD or EB to achieve residual limb maturation, and all participants in both groups were trained with the same preprosthetic program.
Main Outcome Measures:
The time to residual limb maturation, patient satisfaction, and complications were compared between the 2 groups.
Results:
Median time to residual limb maturation was significantly lower in the RRD group (median, 28d [interquartile range, 17-51d]) than in the EB group (median, 54d [interquartile range, 30-77d]; P=.020). After accounting for time since amputation, maturation time remained significantly lower in the RRD group (adjusted hazard ratio, 3.32; 95% CI, 1.08-10.20; P=.036). There was no significant difference in complications or patient satisfaction.
Conclusion:
In postoperative management of transtibial amputation, the use of RRD had a significantly shorter period to residual limb maturation when compared with the EB group.
