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The Robert Jones bandage
The Journal of Bone and Joint Surgery. British Volume
|November 1, 1986
Summary
The Robert Jones bandage, a bulky dressing, increases compartment pressure after knee replacement. This helps reduce bleeding, swelling, and fluid buildup in the knee joint.
Area of Science:
- Orthopaedic Surgery
- Biomedical Engineering
- Clinical Research
Background:
- The Robert Jones bandage is a common post-operative dressing in orthopaedics.
- Its effects on intramuscular compartment pressure are not fully understood.
- Understanding its impact is crucial for patient recovery after total knee replacement.
Purpose of the Study:
- To review the historical use of the Robert Jones bandage.
- To investigate the effect of the Robert Jones bandage on intramuscular compartment pressure following total knee replacement.
- To assess its impact on post-operative bleeding, edema, and joint effusions.
Main Methods:
- Historical literature review of the Robert Jones bandage.
- In-vivo monitoring of intramuscular compartment pressure in patients undergoing total knee replacement.
- Application of the Robert Jones bandage post-surgery.
Main Results:
- The Robert Jones bandage significantly increased intramuscular compartment pressure.
- A reduction in post-operative bleeding was observed.
- Decreased tissue edema and joint effusions (hemarthroses) were noted.
Conclusions:
- The Robert Jones bandage effectively manages post-operative swelling and bleeding after total knee replacement.
- Increased compartment pressure is a mechanism by which the bandage exerts its beneficial effects.
- Further research may optimize its application for enhanced patient outcomes.