Effectiveness of Compressive Stockings Utilization in the Management of Post-Operative Swelling for Ankle Fractures in a Teaching Hospital in Ghana  

作　　者：Bernard Hammond Kwadwo Aning Abu David Anyittey-Kokor Paa Kwesi Baidoo Michael Leat Ronald Awoonor-Williams Adwoa Afriyie Wilson Dominic Konadu-Yeboah Senyo Gudugbe Kizito Kakra Vormawor Mohammed Issah Suglo Bukari Joshua Tei Shiako Emmanuel Ansah Owusu Bernard Hammond;Kwadwo Aning Abu;David Anyittey-Kokor;Paa Kwesi Baidoo;Michael Leat;Ronald Awoonor-Williams;Adwoa Afriyie Wilson;Dominic Konadu-Yeboah;Senyo Gudugbe;Kizito Kakra Vormawor;Mohammed Issah Suglo Bukari;Joshua Tei Shiako;Emmanuel Ansah Owusu(Trauma and Orthopaedics Directorate, Komfo Anokye Teaching Hospital, Kumasi, Ghana;Department of Surgery, St John of God Hospital, Duayaw Nkwanta, Ghana;Ghana Health Service, Accra, Ghana;Department of Surgery, Holy Family Hospital, Techiman, Ghana;Department of Surgery, Adventist Government Hospital, Asamang, Ghana;Department of Surgery, Tamale Teaching Hospital, Tamale, Ghana)

机构地区：[1]Trauma and Orthopaedics Directorate, Komfo Anokye Teaching Hospital, Kumasi, Ghana [2]Department of Surgery, St John of God Hospital, Duayaw Nkwanta, Ghana [3]Ghana Health Service, Accra, Ghana [4]Department of Surgery, Holy Family Hospital, Techiman, Ghana [5]Department of Surgery, Adventist Government Hospital, Asamang, Ghana [6]Department of Surgery, Tamale Teaching Hospital, Tamale, Ghana

出　　处：《Open Journal of Orthopedics》2024年第12期579-588,共10页矫形学期刊(英文)

摘　　要：Background: Post-operative swelling following open reduction and internal fixation for ankle fracture is a common complication that delays return to function. Compressive stockings have been employed in most centres in Africa to help resolve such complications but there is a dearth of information regarding its clinical effectiveness. Therefore, this study sought to evaluate the effectiveness of compressive stockings in the management of post-operative ankle swelling. Methodology: A prospective cohort hospital-based study was employed in the present study to assess the effectiveness of compressive stocking in reducing post-op swelling following ORIF for ankle fractures compared to a control group who had no compressive stocking using a convenient sampling method. Data collected include age, sex, and ankle circumference at 2, 6 and 12 weeks post op. Based on the x-rays, the ankle fractures were categorized according to the Lauge-Hansen classification. Student t-test was used in all statistical analyses p-value Results: A total of 85 patients (40 test and 45 control) including 54% males and 46% females between the ages of 18 - 78 years with a mean age of 44.8 + 14.9 years were recruited for the present study. The most common fracture pattern was supination external rotation (74.1%). Post op swelling was significantly lower in the compressive stocking group compared to the control group at 6 weeks [0.53 cm (95% CI: 0.05 - 1.01), p Conclusion: Compressive stocking can be used effectively to reduce post op swelling following open reduction and internal fixation for ankle fractures.Background: Post-operative swelling following open reduction and internal fixation for ankle fracture is a common complication that delays return to function. Compressive stockings have been employed in most centres in Africa to help resolve such complications but there is a dearth of information regarding its clinical effectiveness. Therefore, this study sought to evaluate the effectiveness of compressive stockings in the management of post-operative ankle swelling. Methodology: A prospective cohort hospital-based study was employed in the present study to assess the effectiveness of compressive stocking in reducing post-op swelling following ORIF for ankle fractures compared to a control group who had no compressive stocking using a convenient sampling method. Data collected include age, sex, and ankle circumference at 2, 6 and 12 weeks post op. Based on the x-rays, the ankle fractures were categorized according to the Lauge-Hansen classification. Student t-test was used in all statistical analyses p-value Results: A total of 85 patients (40 test and 45 control) including 54% males and 46% females between the ages of 18 - 78 years with a mean age of 44.8 + 14.9 years were recruited for the present study. The most common fracture pattern was supination external rotation (74.1%). Post op swelling was significantly lower in the compressive stocking group compared to the control group at 6 weeks [0.53 cm (95% CI: 0.05 - 1.01), p Conclusion: Compressive stocking can be used effectively to reduce post op swelling following open reduction and internal fixation for ankle fractures.

关 键 词：Ankle-Fractures Postoperative-Swelling Functional-Outcomes Compressive-Stocking ORIF 

分 类 号：R68[医药卫生—骨科学]