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Published on: May 5, 2023
Effect of Nonelastic Compression With an Adjustable Wrap After Total Knee Arthroplasty
Ad A Hendrickx1,2,3,4,5, Wim P Krijnen1,2,3,4,5, Richard Bimmel1,2,3,4,5
1Ad A. Hendrickx, PT, Center of Expertise for Lymphovascular Medicine, Nij Smellinghe Hospital, Drachten, the Netherlands; Research and Innovation Group in Health Care and Nursing, Hanze University of Applied Sciences, Groningen, the Netherlands; and Department of Health Psychology, University Medical Center Groningen, University of Groningen, the Netherlands.
Abstract:
Swelling is a common phenomenon after total knee arthroplasty, with potential for negative impact on the rehabilitation process and final outcome. The aim of this study was to investigate the effectiveness of a new compression protocol with a self-adjustable, nonelastic compression wrap for the knee region. This study was conducted as a prospective comparative study. Total leg volume and the circumference of the knee at three levels were compared between groups. The results of our study suggest that the application of the new compression protocol has no effect on swelling in the acute postoperative phase (0-2 days) but reduces swelling at Day 14 within the subacute phase. The observed positive effect of the compression protocol could be of clinical importance in the subacute phase as well as for a subgroup of patients suffering from aberrant quadriceps weakness concomitant with knee swelling.
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