Ankle Sprains at a Military Male School: Taping Versus Bracing

Abstract

Background: Surgical treatment of lumbar intervertebral disc herniation is a critical procedure due to the proximity of the operation field to neural structures. Providing a bloodless field and optimizing surgeon vision is of high value in this regard. Total intravenous anesthesia with propofol and inhalation anesthesia with isoflurane are both used in spine surgeries. Both of these agents have vasodilator properties that could be benefited in inducing controlled hypotension as a blood sparing technique. We sought to compare propofol and isoflurane anesthesia in terms of intraoperative bleeding and hemodynamic changes. Methods: After obtaining ethics approval and informed consent, 88 Iranian patients with American society of anesthesiology score 1 and 2 were randomly divided into two groups. The ISO group received isoflurane and the PRO group received propofol as the main anesthetic agent. Hemodynamic changes, intraoperative bleeding, urinary output, and surgeon satisfaction score were recorded. Results: The two groups were similar in demographic characteristics (for age P = 0.072; for gender P = 0.286). The ISO group had significantly lower blood pressure after 30 minutes of anesthesia (P = 0.01). Intraoperative bleeding in terms of qualitative and quantitative measures was lower in the ISO group (P = 0.001). Isoflurane anesthesia was also associated with a higher surgeon satisfaction score (P = 0.01). Conclusions: Our findings showed that isoflurane as a volatile agent provides a bloodless field better than does propofol through TIVA.

The cost‐effectiveness of semi‐rigid ankle brace to facilitate return to work following first‐time acute ankle sprains

“…() and Najafipour et al . (), who found that taping was cheaper than ankle brace. The increased cost of ankle brace may be due to the initial material cost (Lardenoye et al .…”

“…, Najafipour et al . ). To avoid these complications in patients undergoing the intervention, at least one visit to physiotherapist per week is required (Lardenoye et al .…”

A systematic review of health economic evaluation in orthotics and prosthetics: Part 2—orthotics

“…11,43,45 For example, a cost-effectiveness study 11 that compared return-to-work postacute ankle sprains after either semi-rigid ankle bracing or taping, extracted benefit data from a study of tubular bandage 10 despite no evidence to suggest that the HR-QoL benefits of taping are comparable with tubular bandage. Given the prevalence of tapingrelated skin complications 50,[63][64][65] that reduce HR-QoL, it is likely that the benefit of the taping intervention and the subsequent costeffectiveness outcome have been overstated.…”