Effect of compression therapy on knee swelling and pain after total knee arthroplasty

Munk, Stephanie; Jensen, Niels J. F.; Andersen, Ida Torp; Kehlet, Henrik; Hansen, Torben Bæk

doi:10.1007/s00167-012-1963-0

Cited by 37 publications

(38 citation statements)

References 12 publications

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“…One study did not find a significant benefit of postoperative use of medical compression stockings on postoperative knee pain and swelling. 49 Another study showed that the use of combined compression and cryotherapy after ACL reconstruction resulted in improved short-term pain relief and a greater likelihood of independence from narcotic use compared with cryotherapy alone. 43 Further studies investigating the use of compression therapy in postoperative care are warranted.…”

Section: Postoperative Pain Management Cryotherapy Elevation Comprementioning

confidence: 99%

Evidence-Based Approach of Treatment Options for Postoperative Knee Pain

Farr¹,

Jaggers

Lewis

et al. 2014

The Physician and Sportsmedicine

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Optimal pain management is critical after knee surgery to avoid adverse events and to improve surgical outcomes. Pain may affect surgical outcomes by contributing to limitations in range of motion, strength, and functional recovery. The causes of postoperative pain are multifactorial; therefore, an appropriate pain management strategy must take into account preoperative, intraoperative, and postoperative factors to create a comprehensive and individualized plan for the patient. Preoperative assessment includes management of patient expectations, recognition of conditions and early counseling for high-risk patients (ie, opioid dependence, psychiatric comorbidities), and use of preemptive analgesia techniques (ie, preoperative IV medications, peripheral nerve blocks, incisional field blocks). Intraoperative strategies include meticulous surgical technique, limiting the use of tourniquets (ie, duration and pressure), and using preventive analgesia methods (ie, postoperative field block, continuous nerve catheters, intra-articular injection). Postoperative analgesia may be facilitated by cryotherapy, early mobilization, bracing, and rehabilitation. Certain modalities (ie, continuous passive motion devices, transcutaneous electrical nerve stimulation units, iontophoresis) may be important adjuncts in the perioperative period as well. There may be an evolving role for alternative medicine strategies. Early recognition and treatment of exaggerated postoperative pain responses may mitigate the effects of complex regional pain syndrome or the development of chronic pain.

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Section: Postoperative Pain Management Cryotherapy Elevation Comprementioning

confidence: 99%

Evidence-Based Approach of Treatment Options for Postoperative Knee Pain

Farr¹,

Jaggers

Lewis

et al. 2014

The Physician and Sportsmedicine

View full text Add to dashboard Cite

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“…Previous studies using knee girth measurements have observed a pronounced increase in knee swelling levels immediately post TKA [1,21] which subsequently reduced but did not return to preoperative levels at 1 month [21], 3 months [22], or even 6 months [22] postsurgery. The present study generally agrees with these studies but has several methodological improvements, the biggest of which is the use of bioimpedance spectrometry to quantify knee swelling at several timepoints.…”

Section: Discussionmentioning

confidence: 86%

The Time Course of Knee Swelling Post Total Knee Arthroplasty and Its Associations with Quadriceps Strength and Gait Speed

Pua

2015

The Journal of Arthroplasty

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“…The efficacy in total knee arthroplasty is still unclear due to conflicting results in the medical literature and heterogeneous methodology [13, 18–20]. We hypothesised that the use of a compression bandage in total knee replacement would improve postoperative pain, swelling and functional outcomes.…”

Section: Introductionmentioning

confidence: 99%

STICKS study – Short-sTretch Inelastic Compression bandage in Knee Swelling following total knee arthroplasty – a feasibility study

Brock

Sprowson

Müller

et al. 2017

Trials

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BackgroundPostoperative knee swelling is common and impairs early postoperative function following total knee arthroplasty. It was hypothesised that the use of a short-stretch, inelastic compression bandage would reduce knee swelling and improve pain and early function. The aim of this study was to provide preliminary data and test feasibility with a view to informing a larger, future trial.MethodsFifty consecutive patients selected for primary total knee arthroplasty underwent distance randomisation to receive a short-stretch, inelastic compression bandage or a standard wool and crepe bandage for the first 24 h postoperatively. Study feasibility including recruitment rates, retention rates and complications were analysed. The Oxford Knee Score, the EQ-5D-3L index score, knee swelling, knee range of motion, visual analogue pain score and length of stay were compared between groups. Analysis of covariance (ANCOVA) was performed adjusting for the preoperative measurement.ResultsSixty-eight percent of eligible patients were recruited into the trial. The retention rate was 88%. There were no complications regarding compression bandage use. There was a greater mean but non-significant improvement in Oxford Knee Score (p = 0.580; point estimate = 2.1; 95% CI −3.288 to 7.449) and EQ-5D-3L index score (p = 0.057; point estimate = 0.147; 95% CI −0.328 to 0.005) in the compression bandage group at 6 months. There was no significant difference between groups regarding knee swelling, knee range of motion, visual analogue pain score, complications and length of stay.ConclusionPreliminary data suggests that the use of an inelastic, short-stretch compression bandage following total knee arthroplasty is a safe technique that is acceptable to patients. A larger, multicentre trial is required to determine its effect postoperatively.Trial registrationThe study was registered with Current Controlled Trials, identifier: ISRCTN86903140. Registered on 30 May 2013.

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Effect of compression therapy on knee swelling and pain after total knee arthroplasty

Abstract: I.

Cited by 37 publications

References 12 publications

Evidence-Based Approach of Treatment Options for Postoperative Knee Pain

Evidence-Based Approach of Treatment Options for Postoperative Knee Pain

The Time Course of Knee Swelling Post Total Knee Arthroplasty and Its Associations with Quadriceps Strength and Gait Speed

STICKS study – Short-sTretch Inelastic Compression bandage in Knee Swelling following total knee arthroplasty – a feasibility study

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