Die intermittierende Impulskompression zur Abschwellung und Thromboseprophylaxe – Pilotstudie nach Hüft-TEP

Ivanic, G. M.; Moser, Irmgard; Pietsch, M.; Kriechhammer, P.; Hennerbichler, A.

doi:10.1007/s00113-006-1140-3

Cited by 9 publications

(1 citation statement)

References 37 publications

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“…Using the AVI system, Gardner and Fox demonstrated a positive effect on the microcirculatory physiology of the leg [5,23]. Several clinical studies have demonstrated the effectiveness of intermittent impulse compression in cases of skeletal trauma and total hip replacement, both as a stand-alone procedure or in synergy with heparin (add-on therapy) [8,10,11,[16][17][18]21].…”

Section: Introductionmentioning

confidence: 99%

Pneumatic compression with foot pumps facilitates early postoperative mobilisation in total knee arthroplasty

Windisch

Kolb²,

Kolb

et al. 2010

International Orthopaedics (SICOT)

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Deep-vein thrombosis (DVT) and pulmonary embolism (PE) represent life-threatening postoperative complications frequently responsible for in-hospital mortality following total knee arthroplasty (TKA). Mechanical prophylaxis in the form of a foot pump offers an alternative to pharmacological and physical therapy. The aim of this prospective and randomised study was to examine the clinical efficacy of the A-V Impulse (AVI) system in reduction of soft-tissue swelling of the lower limb following a TKA. A total of 80 patients undergoing cemented TKA between September 2005 and December 2006 were randomised into two groups of 40 patients (n¹ = 40, n² = 40) during the 16-month study period. All patients received a subcutaneous dose of low molecular weight heparin (LMWH) (Enoxaparin/Clexane® 40 mg) once daily beginning 24 hours prior to the operation. The mean age for the groups n¹ and n² were 68.93 and 68.15 years, respectively. The reduction of soft-tissue swelling in the n¹ group was significantly higher (p < 0.05) compared with n². Evaluation of body mass index (BMI) with regard to the average reduction of soft-tissue swelling showed no significant influence (p < 0.05). The better function of the operated knee in group AVI was a significant predictor for improved agility and mobility (p < 0.01). No complications were reported for the application of the AVI. No ultrasonographic evidence of DVT or PE was found in any of the 80 patients during the investigative time period of eight days. After three months, there was no evidence of a symptomatic DVT.

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Section: Introductionmentioning

confidence: 99%

Pneumatic compression with foot pumps facilitates early postoperative mobilisation in total knee arthroplasty

Windisch

Kolb²,

Kolb

et al. 2010

International Orthopaedics (SICOT)

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Joint 2022 European Society of Thoracic Surgeons and The American Association for Thoracic Surgery guidelines for the prevention of cancer-associated venous thromboembolism in thoracic surgery

Shargall

Wiercioch

Brunelli

et al. 2023

The Journal of Thoracic and Cardiovascular Surgery

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Vascular impulse technology versus elevation for reducing the swelling of upper and lower extremity joint fractures

Barbari

Schnetzke²,

Bergmann

et al. 2023

Sci Rep

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Soft-tissue conditioning due to posttraumatic oedema after complicated joint fractures is a central therapeutic aspect both pre- and postoperatively. On average, 6–10 days pass until the patient is suitable for surgery. This study compares the decongestant effect of vascular impulse technology (VIT) with that of conventional elevation. In this monocentric RCT, 68 patients with joint fractures of the upper (n = 36) and lower (n = 32) extremity were included and randomized after consent in a 1:1 ratio. Variables were evaluated for all fractures together and additionally subdivided into upper or lower extremity for better clinical comparability. Primary endpoint was the time in days from hospital admission to operability. Secondary endpoints were total length of stay, oedema reduction, pain intensity, complications, and revisions. The time from admission until operability was reduced by 1.4 (95% CI − 0.4; 3.1) days in the mITT analysis (p = 0.120) and was statistically significant with 1.7 (95% CI 0.1; 3.3) days in the as-treated sensitivity analysis (pAT = 0.038). Significantly less pain and a faster oedema reduction were found in the intervention group. Due to rare occurrences, nothing can be concluded regarding complications and revisions. Administration of VIT therapy did not lead to a significant reduction in time until operability in the whole population but was superior to elevation for soft-tissue conditioning and pain reduction. However, there was a significant reduction by 2.5 days (95% CI 0.7; 4.3) in the subgroup of lower extremity fractures. VIT therapy therefore seems to be a helpful tool in the treatment of posttraumatic oedema after complex joint fractures of the lower and upper extremity, especially in tibial head and lower leg fractures.

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Die intermittierende Impulskompression zur Abschwellung und Thromboseprophylaxe – Pilotstudie nach Hüft-TEP

Abstract: These preliminary results suggest that pump systems can prevent deep venous thrombosis after hip surgery even when applied for only short intervals over a short period of time. However, large scale confirmatory studies are needed.

Cited by 9 publications

References 37 publications

Pneumatic compression with foot pumps facilitates early postoperative mobilisation in total knee arthroplasty

Pneumatic compression with foot pumps facilitates early postoperative mobilisation in total knee arthroplasty

Joint 2022 European Society of Thoracic Surgeons and The American Association for Thoracic Surgery guidelines for the prevention of cancer-associated venous thromboembolism in thoracic surgery

Vascular impulse technology versus elevation for reducing the swelling of upper and lower extremity joint fractures

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