Efficacy of the A-V Impulse System versus cryotherapy in the reduction of postoperative oedema of the hand: a prospective randomised trial
Identifieur interne : 003C78 ( Pmc/Checkpoint ); précédent : 003C77; suivant : 003C79Efficacy of the A-V Impulse System versus cryotherapy in the reduction of postoperative oedema of the hand: a prospective randomised trial
Auteurs : K. Mader [Allemagne] ; S. Kirchner [Allemagne] ; B. Wolfgarten [Allemagne] ; D. Pennig [Allemagne]Source :
- Strategies in Trauma and Limb Reconstruction [ 1828-8936 ] ; 2006.
Abstract
In a prospective randomised trial, the effects of an
intermittent compression hand pump vs. cryotherapy were
compared on reduction of postoperative hand swelling and
gain in finger movement after distal radius fractures.
Although intermittent compression as a physical method for
thromboprophylaxis and swelling reduction in orthopaedic
and trauma patients of the lower leg are established, a
prospective randomised trial for an objective evaluation of
the effects of intermittent compression in the upper extremity
has not been previously performed. Forty-three subjects
(63±33 years, 32 women, 11 men) with a unilateral distal
radius fracture treated with transarticular external fixation
were randomised into two treatment groups. In group A 21
patients were treated with cryotherapy. In group B 22
patients were treated with an intermittent compression hand
pump. Reduction in swelling of the treated hand and MP and
PIP joint movement were recorded with computerised
assessment software (EVAL Hand Evaluation System) in
comparison to the uninjured contralateral side. Reduction of
swelling in group A was not statistically significant (28.5%
of total swelling or 0.61 cm, SD 0.39,
Url:
DOI: 10.1007/s11751-006-0004-2
PubMed: NONE
PubMed Central: 2780588
Affiliations:
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of postoperative oedema of the hand: a prospective randomised trial</title><author><name sortKey="Mader, K" sort="Mader, K" uniqKey="Mader K" first="K." last="Mader">K. Mader</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Cologne</settlement></placeName></affiliation></author><author><name sortKey="Kirchner, S" sort="Kirchner, S" uniqKey="Kirchner S" first="S." last="Kirchner">S. Kirchner</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Cologne</settlement></placeName></affiliation></author><author><name sortKey="Wolfgarten, B" sort="Wolfgarten, B" uniqKey="Wolfgarten B" first="B." last="Wolfgarten">B. Wolfgarten</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Cologne</settlement></placeName></affiliation></author><author><name sortKey="Pennig, D" sort="Pennig, D" uniqKey="Pennig D" first="D." last="Pennig">D. Pennig</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Cologne</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmc">2780588</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2780588</idno><idno type="RBID">PMC:2780588</idno><idno type="doi">10.1007/s11751-006-0004-2</idno><idno type="pmid">NONE</idno><date when="2006">2006</date><idno type="wicri:Area/Pmc/Corpus">000E66</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000E66</idno><idno type="wicri:Area/Pmc/Curation">000E65</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000E65</idno><idno type="wicri:Area/Pmc/Checkpoint">003C78</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">003C78</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Efficacy of the A-V Impulse System versus cryotherapy in the reduction
of postoperative oedema of the hand: a prospective randomised trial</title><author><name sortKey="Mader, K" sort="Mader, K" uniqKey="Mader K" first="K." last="Mader">K. Mader</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Cologne</settlement></placeName></affiliation></author><author><name sortKey="Kirchner, S" sort="Kirchner, S" uniqKey="Kirchner S" first="S." last="Kirchner">S. Kirchner</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Cologne</settlement></placeName></affiliation></author><author><name sortKey="Wolfgarten, B" sort="Wolfgarten, B" uniqKey="Wolfgarten B" first="B." last="Wolfgarten">B. Wolfgarten</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Cologne</settlement></placeName></affiliation></author><author><name sortKey="Pennig, D" sort="Pennig, D" uniqKey="Pennig D" first="D." last="Pennig">D. Pennig</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Cologne</settlement></placeName></affiliation></author></analytic><series><title level="j">Strategies in Trauma and Limb Reconstruction</title><idno type="ISSN">1828-8936</idno><idno type="eISSN">1828-8928</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>In a prospective randomised trial, the effects of an
intermittent compression hand pump vs. cryotherapy were
compared on reduction of postoperative hand swelling and
gain in finger movement after distal radius fractures.
Although intermittent compression as a physical method for
thromboprophylaxis and swelling reduction in orthopaedic
and trauma patients of the lower leg are established, a
prospective randomised trial for an objective evaluation of
the effects of intermittent compression in the upper extremity
has not been previously performed. Forty-three subjects
(63±33 years, 32 women, 11 men) with a unilateral distal
radius fracture treated with transarticular external fixation
were randomised into two treatment groups. In group A 21
patients were treated with cryotherapy. In group B 22
patients were treated with an intermittent compression hand
pump. Reduction in swelling of the treated hand and MP and
PIP joint movement were recorded with computerised
assessment software (EVAL Hand Evaluation System) in
comparison to the uninjured contralateral side. Reduction of
swelling in group A was not statistically significant (28.5%
of total swelling or 0.61 cm, SD 0.39, <italic>p</italic>=0.42), but in group
B it was significant (92% of total swelling, 3.62 cm, SD 1.48,
<italic>p</italic><0.001). Comparison of increases in MP and PIP joint
movement (<italic>p</italic><0.0016) showed statistically significant differences
in favour of the intermittent compression pump. This
study demonstrates that intermittent compression is more
effective in the reduction of postoperative oedema and gain
of finger movement of the hand than cryotherapy.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Moberg, K" uniqKey="Moberg K">K. Moberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nicholas, J S" uniqKey="Nicholas J">J.S. Nicholas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bulitta, C" uniqKey="Bulitta C">C. Bulitta</name></author><author><name sortKey="Kock, H J" uniqKey="Kock H">H.J. Kock</name></author><author><name sortKey="Hanke, J" uniqKey="Hanke J">J. Hanke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Erdmann, M W H" uniqKey="Erdmann M">M.W.H. Erdmann</name></author><author><name sortKey="Richardson, J" uniqKey="Richardson J">J. Richardson</name></author><author><name sortKey="Templeton, J" uniqKey="Templeton J">J. Templeton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Myerson, M S" uniqKey="Myerson M">M.S. Myerson</name></author><author><name sortKey="Henderson, M R" uniqKey="Henderson M">M.R. Henderson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stranks, G J" uniqKey="Stranks G">G.J. Stranks</name></author><author><name sortKey="Mackenzie, N A" uniqKey="Mackenzie N">N.A. MacKenzie</name></author><author><name sortKey="Grover, M L" uniqKey="Grover M">M.L. Grover</name></author><author><name sortKey="Fail, T" uniqKey="Fail T">T. Fail</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Asano, H" uniqKey="Asano H">H. Asano</name></author><author><name sortKey="Matsubara, M" uniqKey="Matsubara M">M. Matsubara</name></author><author><name sortKey="Suzuki, K" uniqKey="Suzuki K">K. Suzuki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Delis, K T" uniqKey="Delis K">K.T. Delis</name></author><author><name sortKey="Nicolaides, A N" uniqKey="Nicolaides A">A.N. Nicolaides</name></author><author><name sortKey="Wolfe, J H N" uniqKey="Wolfe J">J.H.N. Wolfe</name></author><author><name sortKey="Stansby, G" uniqKey="Stansby G">G. Stansby</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ramesh, M" uniqKey="Ramesh M">M. Ramesh</name></author><author><name sortKey="Morrissey, B" uniqKey="Morrissey B">B. Morrissey</name></author><author><name sortKey="Healy, J B" uniqKey="Healy J">J.B. Healy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simons, P" uniqKey="Simons P">P. Simons</name></author><author><name sortKey="Coleridge Smith, P" uniqKey="Coleridge Smith P">P. Coleridge-Smith</name></author><author><name sortKey="Lees, W R" uniqKey="Lees W">W.R. Lees</name></author><author><name sortKey="Mcgrouther, D A" uniqKey="Mcgrouther D">D.A. McGrouther</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kilgour, R D" uniqKey="Kilgour R">R.D. Kilgour</name></author><author><name sortKey="Carranza, A" uniqKey="Carranza A">A. Carranza</name></author><author><name sortKey="Findlay, R" uniqKey="Findlay R">R. Findlay</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Berlin, E" uniqKey="Berlin E">E. Berlin</name></author><author><name sortKey="Gjores, J E" uniqKey="Gjores J">J.E. Gjöres</name></author><author><name sortKey="Ivarsson, C" uniqKey="Ivarsson C">C. Ivarsson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Strategies Trauma Limb Reconstr</journal-id><journal-id journal-id-type="iso-abbrev">Strategies Trauma Limb Reconstr</journal-id><journal-title-group><journal-title>Strategies in Trauma and Limb Reconstruction</journal-title></journal-title-group><issn pub-type="ppub">1828-8936</issn><issn pub-type="epub">1828-8928</issn><publisher><publisher-name>Springer-Verlag</publisher-name><publisher-loc>Milan</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">2780588</article-id><article-id pub-id-type="publisher-id">4</article-id><article-id pub-id-type="doi">10.1007/s11751-006-0004-2</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original</subject></subj-group></article-categories><title-group><article-title>Efficacy of the A-V Impulse System versus cryotherapy in the reduction
of postoperative oedema of the hand: a prospective randomised trial</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Mader</surname><given-names>K.</given-names></name><address><email>k.mader@ndh.net</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Kirchner</surname><given-names>S.</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Wolfgarten</surname><given-names>B.</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Pennig</surname><given-names>D.</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><aff id="Aff1">Department of Trauma and Orthopedic Surgery, Hand- and Reconstructive Surgery St. Vinzenz-Hospital, Merheimer Str. 221-23, D-50733 Cologne, Germany</aff></contrib-group><pub-date pub-type="epub"><day>14</day><month>12</month><year>2006</year></pub-date><pub-date pub-type="pmc-release"><day>14</day><month>12</month><year>2006</year></pub-date><pub-date pub-type="ppub"><month>12</month><year>2006</year></pub-date><volume>1</volume><issue>1</issue><fpage>36</fpage><lpage>41</lpage><history><date date-type="received"><day>1</day><month>9</month><year>2006</year></date><date date-type="accepted"><day>9</day><month>10</month><year>2006</year></date></history><permissions><copyright-statement>© Springer-Verlag
Italia 2006</copyright-statement></permissions><abstract id="Abs1"><p>In a prospective randomised trial, the effects of an
intermittent compression hand pump vs. cryotherapy were
compared on reduction of postoperative hand swelling and
gain in finger movement after distal radius fractures.
Although intermittent compression as a physical method for
thromboprophylaxis and swelling reduction in orthopaedic
and trauma patients of the lower leg are established, a
prospective randomised trial for an objective evaluation of
the effects of intermittent compression in the upper extremity
has not been previously performed. Forty-three subjects
(63±33 years, 32 women, 11 men) with a unilateral distal
radius fracture treated with transarticular external fixation
were randomised into two treatment groups. In group A 21
patients were treated with cryotherapy. In group B 22
patients were treated with an intermittent compression hand
pump. Reduction in swelling of the treated hand and MP and
PIP joint movement were recorded with computerised
assessment software (EVAL Hand Evaluation System) in
comparison to the uninjured contralateral side. Reduction of
swelling in group A was not statistically significant (28.5%
of total swelling or 0.61 cm, SD 0.39, <italic>p</italic>=0.42), but in group
B it was significant (92% of total swelling, 3.62 cm, SD 1.48,
<italic>p</italic><0.001). Comparison of increases in MP and PIP joint
movement (<italic>p</italic><0.0016) showed statistically significant differences
in favour of the intermittent compression pump. This
study demonstrates that intermittent compression is more
effective in the reduction of postoperative oedema and gain
of finger movement of the hand than cryotherapy.</p></abstract><kwd-group xml:lang="en"><title>Key words</title><kwd>Postoperative swelling</kwd><kwd>Intermittent compression
pump</kwd><kwd>Cryotherapy</kwd><kwd>Hand</kwd><kwd>Distal radius fracture</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Springer-Verlag Italia 2006</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>Allemagne</li></country><region><li>District de Cologne</li><li>Rhénanie-du-Nord-Westphalie</li></region><settlement><li>Cologne</li></settlement></list><tree><country name="Allemagne"><region name="Rhénanie-du-Nord-Westphalie"><name sortKey="Mader, K" sort="Mader, K" uniqKey="Mader K" first="K." last="Mader">K. Mader</name></region><name sortKey="Kirchner, S" sort="Kirchner, S" uniqKey="Kirchner S" first="S." last="Kirchner">S. Kirchner</name><name sortKey="Pennig, D" sort="Pennig, D" uniqKey="Pennig D" first="D." last="Pennig">D. Pennig</name><name sortKey="Wolfgarten, B" sort="Wolfgarten, B" uniqKey="Wolfgarten B" first="B." last="Wolfgarten">B. Wolfgarten</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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