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Comparison of Removable Rigid Dressing and Elastic Bandage for Residual Limb Maturation in Transtibial Amputees: A Randomized Controlled Trial.

Authors
  • Koonalinthip, Nantawan1
  • Sukthongsa, Aungsumalin2
  • Janchai, Siriporn2
  • 1 Department of Rehabilitation Medicine, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand; Department of Rehabilitation Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. Electronic address: [email protected] , (Thailand)
  • 2 Department of Rehabilitation Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. , (Thailand)
Type
Published Article
Journal
Archives of physical medicine and rehabilitation
Publication Date
Oct 01, 2020
Volume
101
Issue
10
Pages
1683–1688
Identifiers
DOI: 10.1016/j.apmr.2020.05.009
PMID: 32450063
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To determine the effect of a removable rigid dressing (RRD) on the time to residual limb maturation compared with elastic bandage (EB) in transtibial amputees. Experimental single-blinded (assessor-blinded) randomized controlled trial. Department of Rehabilitation Medicine, King Chulalongkorn Memorial Hospital. Transtibial amputees (N=25) with immature residual limb. Participants were allocated to use RRD or EB to achieve residual limb maturation, and all participants in both groups were trained with the same preprosthetic program. The time to residual limb maturation, patient satisfaction, and complications were compared between the 2 groups. Median time to residual limb maturation was significantly lower in the RRD group (median, 28d [interquartile range, 17-51d]) than in the EB group (median, 54d [interquartile range, 30-77d]; P=.020). After accounting for time since amputation, maturation time remained significantly lower in the RRD group (adjusted hazard ratio, 3.32; 95% CI, 1.08-10.20; P=.036). There was no significant difference in complications or patient satisfaction. In postoperative management of transtibial amputation, the use of RRD had a significantly shorter period to residual limb maturation when compared with the EB group. Copyright © 2020 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

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