Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Pneumatic Compression Combined with Standard Treatment after Total Hip Arthroplasty: Effects on Edema of the Operated Limb and on Physical Outcomes. A Clinical Randomized Control Trial

Vittoria Carnevale Pellino
^ ORCID logo ,
Alessandro Gatti
^ ORCID logo ,
Matteo Vandoni
* ORCID logo ,
Pamela Patanè
ORCID logo ,
Massimiliano Febbi
,
Stefania Ballarin
,
Caterina Cavallo
,
Luca Marin
ORCID logo
^
Co-first author
Version 1 : Received: 8 May 2023 / Approved: 9 May 2023 / Online: 9 May 2023 (05:44:53 CEST)

A peer-reviewed article of this Preprint also exists.

Carnevale Pellino, V.; Gatti, A.; Vandoni, M.; Patanè, P.; Febbi, M.; Ballarin, S.; Cavallo, C.; Marin, L. Pneumatic Compression Combined with Standard Treatment after Total Hip Arthroplasty and Its Effects on Edema of the Operated Limb and on Physical Outcomes: A Pilot Clinical Randomized Controlled Study. J. Clin. Med. 2023, 12, 4164. Carnevale Pellino, V.; Gatti, A.; Vandoni, M.; Patanè, P.; Febbi, M.; Ballarin, S.; Cavallo, C.; Marin, L. Pneumatic Compression Combined with Standard Treatment after Total Hip Arthroplasty and Its Effects on Edema of the Operated Limb and on Physical Outcomes: A Pilot Clinical Randomized Controlled Study. J. Clin. Med. 2023, 12, 4164.

Abstract

Total hip arthroplasty (THA) is one of the most successful orthopedic procedures and is highly effective in improving function and quality of life. However, after discharge patients commonly experience edema, which can lead to health consequences and lower quality of life. For these rea-sons, the aim of this study is to evaluate the effectiveness of a specific intermittent leg pneumatic compression on lower limb edema and physical outcomes in patients after total hip arthroplasty, compared to standard conservative treatment. A total of 47 patients were enrolled and randomly allocated into two groups: the pneumatic compression group (PG=24) and the control group (CG=23). We evaluated thigh and calf circumferences, knee and ankle range of motion, pain and walking autonomy. Our results showed a greater reduction in thigh and calf circumference for PG (p<0.001), while other outcomes were similar for the two groups (p>0.05). The combination of standard therapy with pneumatic leg compression was more effective in reducing lower limb edema, thigh, and calf circumferences compared to the use of standard treatment. Our results suggest that pressotherapy treatment is a valuable and efficient option for managing lower limb edema and preventing VTE after THA.

Keywords

leg pneumatic compression; total hip arthroplasty; lower limb edema

Subject

Medicine and Pharmacology, Clinical Medicine

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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