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M. R. Reed - One of the best experts on this subject based on the ideXlab platform.

  • STICKS study – Short-sTretch Inelastic Compression Bandage in Knee Swelling following total knee arthroplasty – a feasibility study
    Trials, 2017
    Co-Authors: T. M. Brock, Andrew P Sprowson, S. Müller, M. R. Reed
    Abstract:

    Background Postoperative 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. Methods Fifty 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. Results Sixty-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. Conclusion Preliminary 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 registration The study was registered with Current Controlled Trials, identifier: ISRCTN86903140 . Registered on 30 May 2013.

  • sticks study short stretch inelastic compression Bandage in knee swelling following total knee arthroplasty a feasibility study
    Trials, 2017
    Co-Authors: T. M. Brock, Andrew P Sprowson, S D Muller, M. R. Reed
    Abstract:

    Postoperative 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. Fifty 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. Sixty-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. Preliminary 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. The study was registered with Current Controlled Trials, identifier: ISRCTN86903140 . Registered on 30 May 2013.

  • short stretch inelastic compression Bandage in knee swelling following total knee arthroplasty study sticks study protocol for a randomised controlled feasibility study
    Trials, 2015
    Co-Authors: T. M. Brock, Andrew P Sprowson, S D Muller, M. R. Reed
    Abstract:

    Enhanced recovery programmes in total knee arthroplasty are well established. Post-operative knee swelling is common and impairs early post-operative function. The use of a short-stretch, inelastic compression Bandage is hypothesised to reduce knee swelling and improve pain and early function. A study was designed to test feasibility with a view to informing a larger, future trial and to provide preliminary data. This is a randomised controlled feasibility study. Fifty consecutive patients selected for primary total knee arthroplasty will be enrolled in the trial. Patients with a BMI >35, latex allergy or neurological or peripheral vascular disease are excluded. Patients are randomised by distance randomisation to receive a compression Bandage for 24 hours after surgery or a standard wool and Crepe Bandage. The Bandages are applied by one of two consultant surgeons who have had training with their application. Knee swelling, range of motion and pain scores will be compared pre-operatively and at day 1, day 2 and at 6 weeks between groups. The Oxford knee score and EQ-5D health status will be compared pre-operatively and at 6 months between groups. Recruitment rates, retention rates, resource allocation, completeness of data collection, and tolerance and complications with the compression Bandage are recorded. Descriptive statistics are used to calculate a standard deviation for post-operative knee swelling in the groups and to perform a power calculation incorporating anticipated patient retention rates to inform a future trial. Preliminary data will be analysed using the independent samples t-test for equal distributions and the Mann-Whitney U for unequal distributions with the significance denoted at P <0.05. Enhanced recovery programmes have revolutionized the management of total knee arthroplasty. There is a paucity of clinical data regarding the efficacy of compression Bandages. Large, randomised controlled trials are uncommon in orthopaedic surgery. The results of this study will provide feasibility and preliminary data prior to the construction of a larger, multicentre study. The study was registered with Current Controlled Trials ( ISRCTN86903140 ) on 30 May 2013.

  • Short-stretch inelastic compression Bandage in knee swelling following total knee arthroplasty study (STICKS): study protocol for a randomised controlled feasibility study
    Trials, 2015
    Co-Authors: T. M. Brock, Andrew P Sprowson, S. Müller, M. R. Reed
    Abstract:

    Background Enhanced recovery programmes in total knee arthroplasty are well established. Post-operative knee swelling is common and impairs early post-operative function. The use of a short-stretch, inelastic compression Bandage is hypothesised to reduce knee swelling and improve pain and early function. A study was designed to test feasibility with a view to informing a larger, future trial and to provide preliminary data. Methods/design This is a randomised controlled feasibility study. Fifty consecutive patients selected for primary total knee arthroplasty will be enrolled in the trial. Patients with a BMI >35, latex allergy or neurological or peripheral vascular disease are excluded. Patients are randomised by distance randomisation to receive a compression Bandage for 24 hours after surgery or a standard wool and Crepe Bandage. The Bandages are applied by one of two consultant surgeons who have had training with their application. Knee swelling, range of motion and pain scores will be compared pre-operatively and at day 1, day 2 and at 6 weeks between groups. The Oxford knee score and EQ-5D health status will be compared pre-operatively and at 6 months between groups. Recruitment rates, retention rates, resource allocation, completeness of data collection, and tolerance and complications with the compression Bandage are recorded. Descriptive statistics are used to calculate a standard deviation for post-operative knee swelling in the groups and to perform a power calculation incorporating anticipated patient retention rates to inform a future trial. Preliminary data will be analysed using the independent samples t -test for equal distributions and the Mann-Whitney U for unequal distributions with the significance denoted at P

  • Short-stretch inelastic compression Bandage in knee swelling following total knee arthroplasty study (STICKS): study protocol for a randomised controlled feasibility study
    Trials, 2015
    Co-Authors: T. M. Brock, Andrew P Sprowson, S D Muller, M. R. Reed
    Abstract:

    Enhanced recovery programmes in total knee arthroplasty are well established. Post-operative knee swelling is common and impairs early post-operative function. The use of a short-stretch, inelastic compression Bandage is hypothesised to reduce knee swelling and improve pain and early function. A study was designed to test feasibility with a view to informing a larger, future trial and to provide preliminary data. This is a randomised controlled feasibility study. Fifty consecutive patients selected for primary total knee arthroplasty will be enrolled in the trial. Patients with a BMI >35, latex allergy or neurological or peripheral vascular disease are excluded. Patients are randomised by distance randomisation to receive a compression Bandage for 24 hours after surgery or a standard wool and Crepe Bandage. The Bandages are applied by one of two consultant surgeons who have had training with their application. Knee swelling, range of motion and pain scores will be compared pre-operatively and at day 1, day 2 and at 6 weeks between groups. The Oxford knee score and EQ-5D health status will be compared pre-operatively and at 6 months between groups. Recruitment rates, retention rates, resource allocation, completeness of data collection, and tolerance and complications with the compression Bandage are recorded. Descriptive statistics are used to calculate a standard deviation for post-operative knee swelling in the groups and to perform a power calculation incorporating anticipated patient retention rates to inform a future trial. Preliminary data will be analysed using the independent samples t-test for equal distributions and the Mann-Whitney U for unequal distributions with the significance denoted at P

T. M. Brock - One of the best experts on this subject based on the ideXlab platform.

  • STICKS study – Short-sTretch Inelastic Compression Bandage in Knee Swelling following total knee arthroplasty – a feasibility study
    Trials, 2017
    Co-Authors: T. M. Brock, Andrew P Sprowson, S. Müller, M. R. Reed
    Abstract:

    Background Postoperative 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. Methods Fifty 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. Results Sixty-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. Conclusion Preliminary 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 registration The study was registered with Current Controlled Trials, identifier: ISRCTN86903140 . Registered on 30 May 2013.

  • sticks study short stretch inelastic compression Bandage in knee swelling following total knee arthroplasty a feasibility study
    Trials, 2017
    Co-Authors: T. M. Brock, Andrew P Sprowson, S D Muller, M. R. Reed
    Abstract:

    Postoperative 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. Fifty 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. Sixty-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. Preliminary 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. The study was registered with Current Controlled Trials, identifier: ISRCTN86903140 . Registered on 30 May 2013.

  • short stretch inelastic compression Bandage in knee swelling following total knee arthroplasty study sticks study protocol for a randomised controlled feasibility study
    Trials, 2015
    Co-Authors: T. M. Brock, Andrew P Sprowson, S D Muller, M. R. Reed
    Abstract:

    Enhanced recovery programmes in total knee arthroplasty are well established. Post-operative knee swelling is common and impairs early post-operative function. The use of a short-stretch, inelastic compression Bandage is hypothesised to reduce knee swelling and improve pain and early function. A study was designed to test feasibility with a view to informing a larger, future trial and to provide preliminary data. This is a randomised controlled feasibility study. Fifty consecutive patients selected for primary total knee arthroplasty will be enrolled in the trial. Patients with a BMI >35, latex allergy or neurological or peripheral vascular disease are excluded. Patients are randomised by distance randomisation to receive a compression Bandage for 24 hours after surgery or a standard wool and Crepe Bandage. The Bandages are applied by one of two consultant surgeons who have had training with their application. Knee swelling, range of motion and pain scores will be compared pre-operatively and at day 1, day 2 and at 6 weeks between groups. The Oxford knee score and EQ-5D health status will be compared pre-operatively and at 6 months between groups. Recruitment rates, retention rates, resource allocation, completeness of data collection, and tolerance and complications with the compression Bandage are recorded. Descriptive statistics are used to calculate a standard deviation for post-operative knee swelling in the groups and to perform a power calculation incorporating anticipated patient retention rates to inform a future trial. Preliminary data will be analysed using the independent samples t-test for equal distributions and the Mann-Whitney U for unequal distributions with the significance denoted at P <0.05. Enhanced recovery programmes have revolutionized the management of total knee arthroplasty. There is a paucity of clinical data regarding the efficacy of compression Bandages. Large, randomised controlled trials are uncommon in orthopaedic surgery. The results of this study will provide feasibility and preliminary data prior to the construction of a larger, multicentre study. The study was registered with Current Controlled Trials ( ISRCTN86903140 ) on 30 May 2013.

  • Short-stretch inelastic compression Bandage in knee swelling following total knee arthroplasty study (STICKS): study protocol for a randomised controlled feasibility study
    Trials, 2015
    Co-Authors: T. M. Brock, Andrew P Sprowson, S. Müller, M. R. Reed
    Abstract:

    Background Enhanced recovery programmes in total knee arthroplasty are well established. Post-operative knee swelling is common and impairs early post-operative function. The use of a short-stretch, inelastic compression Bandage is hypothesised to reduce knee swelling and improve pain and early function. A study was designed to test feasibility with a view to informing a larger, future trial and to provide preliminary data. Methods/design This is a randomised controlled feasibility study. Fifty consecutive patients selected for primary total knee arthroplasty will be enrolled in the trial. Patients with a BMI >35, latex allergy or neurological or peripheral vascular disease are excluded. Patients are randomised by distance randomisation to receive a compression Bandage for 24 hours after surgery or a standard wool and Crepe Bandage. The Bandages are applied by one of two consultant surgeons who have had training with their application. Knee swelling, range of motion and pain scores will be compared pre-operatively and at day 1, day 2 and at 6 weeks between groups. The Oxford knee score and EQ-5D health status will be compared pre-operatively and at 6 months between groups. Recruitment rates, retention rates, resource allocation, completeness of data collection, and tolerance and complications with the compression Bandage are recorded. Descriptive statistics are used to calculate a standard deviation for post-operative knee swelling in the groups and to perform a power calculation incorporating anticipated patient retention rates to inform a future trial. Preliminary data will be analysed using the independent samples t -test for equal distributions and the Mann-Whitney U for unequal distributions with the significance denoted at P

  • Short-stretch inelastic compression Bandage in knee swelling following total knee arthroplasty study (STICKS): study protocol for a randomised controlled feasibility study
    Trials, 2015
    Co-Authors: T. M. Brock, Andrew P Sprowson, S D Muller, M. R. Reed
    Abstract:

    Enhanced recovery programmes in total knee arthroplasty are well established. Post-operative knee swelling is common and impairs early post-operative function. The use of a short-stretch, inelastic compression Bandage is hypothesised to reduce knee swelling and improve pain and early function. A study was designed to test feasibility with a view to informing a larger, future trial and to provide preliminary data. This is a randomised controlled feasibility study. Fifty consecutive patients selected for primary total knee arthroplasty will be enrolled in the trial. Patients with a BMI >35, latex allergy or neurological or peripheral vascular disease are excluded. Patients are randomised by distance randomisation to receive a compression Bandage for 24 hours after surgery or a standard wool and Crepe Bandage. The Bandages are applied by one of two consultant surgeons who have had training with their application. Knee swelling, range of motion and pain scores will be compared pre-operatively and at day 1, day 2 and at 6 weeks between groups. The Oxford knee score and EQ-5D health status will be compared pre-operatively and at 6 months between groups. Recruitment rates, retention rates, resource allocation, completeness of data collection, and tolerance and complications with the compression Bandage are recorded. Descriptive statistics are used to calculate a standard deviation for post-operative knee swelling in the groups and to perform a power calculation incorporating anticipated patient retention rates to inform a future trial. Preliminary data will be analysed using the independent samples t-test for equal distributions and the Mann-Whitney U for unequal distributions with the significance denoted at P

Andrew P Sprowson - One of the best experts on this subject based on the ideXlab platform.

  • STICKS study – Short-sTretch Inelastic Compression Bandage in Knee Swelling following total knee arthroplasty – a feasibility study
    Trials, 2017
    Co-Authors: T. M. Brock, Andrew P Sprowson, S. Müller, M. R. Reed
    Abstract:

    Background Postoperative 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. Methods Fifty 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. Results Sixty-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. Conclusion Preliminary 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 registration The study was registered with Current Controlled Trials, identifier: ISRCTN86903140 . Registered on 30 May 2013.

  • sticks study short stretch inelastic compression Bandage in knee swelling following total knee arthroplasty a feasibility study
    Trials, 2017
    Co-Authors: T. M. Brock, Andrew P Sprowson, S D Muller, M. R. Reed
    Abstract:

    Postoperative 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. Fifty 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. Sixty-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. Preliminary 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. The study was registered with Current Controlled Trials, identifier: ISRCTN86903140 . Registered on 30 May 2013.

  • short stretch inelastic compression Bandage in knee swelling following total knee arthroplasty study sticks study protocol for a randomised controlled feasibility study
    Trials, 2015
    Co-Authors: T. M. Brock, Andrew P Sprowson, S D Muller, M. R. Reed
    Abstract:

    Enhanced recovery programmes in total knee arthroplasty are well established. Post-operative knee swelling is common and impairs early post-operative function. The use of a short-stretch, inelastic compression Bandage is hypothesised to reduce knee swelling and improve pain and early function. A study was designed to test feasibility with a view to informing a larger, future trial and to provide preliminary data. This is a randomised controlled feasibility study. Fifty consecutive patients selected for primary total knee arthroplasty will be enrolled in the trial. Patients with a BMI >35, latex allergy or neurological or peripheral vascular disease are excluded. Patients are randomised by distance randomisation to receive a compression Bandage for 24 hours after surgery or a standard wool and Crepe Bandage. The Bandages are applied by one of two consultant surgeons who have had training with their application. Knee swelling, range of motion and pain scores will be compared pre-operatively and at day 1, day 2 and at 6 weeks between groups. The Oxford knee score and EQ-5D health status will be compared pre-operatively and at 6 months between groups. Recruitment rates, retention rates, resource allocation, completeness of data collection, and tolerance and complications with the compression Bandage are recorded. Descriptive statistics are used to calculate a standard deviation for post-operative knee swelling in the groups and to perform a power calculation incorporating anticipated patient retention rates to inform a future trial. Preliminary data will be analysed using the independent samples t-test for equal distributions and the Mann-Whitney U for unequal distributions with the significance denoted at P <0.05. Enhanced recovery programmes have revolutionized the management of total knee arthroplasty. There is a paucity of clinical data regarding the efficacy of compression Bandages. Large, randomised controlled trials are uncommon in orthopaedic surgery. The results of this study will provide feasibility and preliminary data prior to the construction of a larger, multicentre study. The study was registered with Current Controlled Trials ( ISRCTN86903140 ) on 30 May 2013.

  • Short-stretch inelastic compression Bandage in knee swelling following total knee arthroplasty study (STICKS): study protocol for a randomised controlled feasibility study
    Trials, 2015
    Co-Authors: T. M. Brock, Andrew P Sprowson, S. Müller, M. R. Reed
    Abstract:

    Background Enhanced recovery programmes in total knee arthroplasty are well established. Post-operative knee swelling is common and impairs early post-operative function. The use of a short-stretch, inelastic compression Bandage is hypothesised to reduce knee swelling and improve pain and early function. A study was designed to test feasibility with a view to informing a larger, future trial and to provide preliminary data. Methods/design This is a randomised controlled feasibility study. Fifty consecutive patients selected for primary total knee arthroplasty will be enrolled in the trial. Patients with a BMI >35, latex allergy or neurological or peripheral vascular disease are excluded. Patients are randomised by distance randomisation to receive a compression Bandage for 24 hours after surgery or a standard wool and Crepe Bandage. The Bandages are applied by one of two consultant surgeons who have had training with their application. Knee swelling, range of motion and pain scores will be compared pre-operatively and at day 1, day 2 and at 6 weeks between groups. The Oxford knee score and EQ-5D health status will be compared pre-operatively and at 6 months between groups. Recruitment rates, retention rates, resource allocation, completeness of data collection, and tolerance and complications with the compression Bandage are recorded. Descriptive statistics are used to calculate a standard deviation for post-operative knee swelling in the groups and to perform a power calculation incorporating anticipated patient retention rates to inform a future trial. Preliminary data will be analysed using the independent samples t -test for equal distributions and the Mann-Whitney U for unequal distributions with the significance denoted at P

  • Short-stretch inelastic compression Bandage in knee swelling following total knee arthroplasty study (STICKS): study protocol for a randomised controlled feasibility study
    Trials, 2015
    Co-Authors: T. M. Brock, Andrew P Sprowson, S D Muller, M. R. Reed
    Abstract:

    Enhanced recovery programmes in total knee arthroplasty are well established. Post-operative knee swelling is common and impairs early post-operative function. The use of a short-stretch, inelastic compression Bandage is hypothesised to reduce knee swelling and improve pain and early function. A study was designed to test feasibility with a view to informing a larger, future trial and to provide preliminary data. This is a randomised controlled feasibility study. Fifty consecutive patients selected for primary total knee arthroplasty will be enrolled in the trial. Patients with a BMI >35, latex allergy or neurological or peripheral vascular disease are excluded. Patients are randomised by distance randomisation to receive a compression Bandage for 24 hours after surgery or a standard wool and Crepe Bandage. The Bandages are applied by one of two consultant surgeons who have had training with their application. Knee swelling, range of motion and pain scores will be compared pre-operatively and at day 1, day 2 and at 6 weeks between groups. The Oxford knee score and EQ-5D health status will be compared pre-operatively and at 6 months between groups. Recruitment rates, retention rates, resource allocation, completeness of data collection, and tolerance and complications with the compression Bandage are recorded. Descriptive statistics are used to calculate a standard deviation for post-operative knee swelling in the groups and to perform a power calculation incorporating anticipated patient retention rates to inform a future trial. Preliminary data will be analysed using the independent samples t-test for equal distributions and the Mann-Whitney U for unequal distributions with the significance denoted at P

S D Muller - One of the best experts on this subject based on the ideXlab platform.

  • sticks study short stretch inelastic compression Bandage in knee swelling following total knee arthroplasty a feasibility study
    Trials, 2017
    Co-Authors: T. M. Brock, Andrew P Sprowson, S D Muller, M. R. Reed
    Abstract:

    Postoperative 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. Fifty 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. Sixty-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. Preliminary 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. The study was registered with Current Controlled Trials, identifier: ISRCTN86903140 . Registered on 30 May 2013.

  • short stretch inelastic compression Bandage in knee swelling following total knee arthroplasty study sticks study protocol for a randomised controlled feasibility study
    Trials, 2015
    Co-Authors: T. M. Brock, Andrew P Sprowson, S D Muller, M. R. Reed
    Abstract:

    Enhanced recovery programmes in total knee arthroplasty are well established. Post-operative knee swelling is common and impairs early post-operative function. The use of a short-stretch, inelastic compression Bandage is hypothesised to reduce knee swelling and improve pain and early function. A study was designed to test feasibility with a view to informing a larger, future trial and to provide preliminary data. This is a randomised controlled feasibility study. Fifty consecutive patients selected for primary total knee arthroplasty will be enrolled in the trial. Patients with a BMI >35, latex allergy or neurological or peripheral vascular disease are excluded. Patients are randomised by distance randomisation to receive a compression Bandage for 24 hours after surgery or a standard wool and Crepe Bandage. The Bandages are applied by one of two consultant surgeons who have had training with their application. Knee swelling, range of motion and pain scores will be compared pre-operatively and at day 1, day 2 and at 6 weeks between groups. The Oxford knee score and EQ-5D health status will be compared pre-operatively and at 6 months between groups. Recruitment rates, retention rates, resource allocation, completeness of data collection, and tolerance and complications with the compression Bandage are recorded. Descriptive statistics are used to calculate a standard deviation for post-operative knee swelling in the groups and to perform a power calculation incorporating anticipated patient retention rates to inform a future trial. Preliminary data will be analysed using the independent samples t-test for equal distributions and the Mann-Whitney U for unequal distributions with the significance denoted at P <0.05. Enhanced recovery programmes have revolutionized the management of total knee arthroplasty. There is a paucity of clinical data regarding the efficacy of compression Bandages. Large, randomised controlled trials are uncommon in orthopaedic surgery. The results of this study will provide feasibility and preliminary data prior to the construction of a larger, multicentre study. The study was registered with Current Controlled Trials ( ISRCTN86903140 ) on 30 May 2013.

  • Short-stretch inelastic compression Bandage in knee swelling following total knee arthroplasty study (STICKS): study protocol for a randomised controlled feasibility study
    Trials, 2015
    Co-Authors: T. M. Brock, Andrew P Sprowson, S D Muller, M. R. Reed
    Abstract:

    Enhanced recovery programmes in total knee arthroplasty are well established. Post-operative knee swelling is common and impairs early post-operative function. The use of a short-stretch, inelastic compression Bandage is hypothesised to reduce knee swelling and improve pain and early function. A study was designed to test feasibility with a view to informing a larger, future trial and to provide preliminary data. This is a randomised controlled feasibility study. Fifty consecutive patients selected for primary total knee arthroplasty will be enrolled in the trial. Patients with a BMI >35, latex allergy or neurological or peripheral vascular disease are excluded. Patients are randomised by distance randomisation to receive a compression Bandage for 24 hours after surgery or a standard wool and Crepe Bandage. The Bandages are applied by one of two consultant surgeons who have had training with their application. Knee swelling, range of motion and pain scores will be compared pre-operatively and at day 1, day 2 and at 6 weeks between groups. The Oxford knee score and EQ-5D health status will be compared pre-operatively and at 6 months between groups. Recruitment rates, retention rates, resource allocation, completeness of data collection, and tolerance and complications with the compression Bandage are recorded. Descriptive statistics are used to calculate a standard deviation for post-operative knee swelling in the groups and to perform a power calculation incorporating anticipated patient retention rates to inform a future trial. Preliminary data will be analysed using the independent samples t-test for equal distributions and the Mann-Whitney U for unequal distributions with the significance denoted at P

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  • Plaster slipper versus Crepe Bandage after first metatarsophalangeal joint fusion
    Foot and Ankle Surgery, 2005
    Co-Authors: R.m.d. Meek, E.g. Anderson
    Abstract:

    Summary Much variability exists in the postoperative mobilization management after first metatarsal phalangeal (1st MTP) joint fusion. This study aimed to determine the differences, if any, between weight bearing following surgery as managed with a plaster slipper as compared with that of a Crepe Bandage. Fifty-two operated feet were randomly entered into a prospective trial. All feet underwent identical operations. When a Crepe Bandage was used there was no significant difference in the rate of complications, or in the patient's assessment of postoperative pain relief. Patients treated with a Crepe Bandage were back to full activity significantly more quickly than their plaster slipper counterparts and the patient's overall assessment of the operation was better. In addition transfer to Crepe Bandage mobilization would be more cost-effective and reduce the demand on the time of trained personnel for application of a plaster. It is therefore proposed that patients are mobilized after first metatarsalphalangeal joint fusion, weight bearing in a Crepe Bandage.

  • Plaster slipper versus Crepe Bandage after Wilson’s osteotomy for hallux valgus
    The Foot, 1999
    Co-Authors: R.m.d. Meek, E.g. Anderson
    Abstract:

    Abstract Much variability exists in the postoperative mobilization management after modified Wilson’s osteotomy for hallux valgus. This study aimed to elicit the differences, if any, between weightbearing following surgery as managed with a plaster slipper as compared to that of a Crepe Bandage. Fifty-four operated feet were randomly entered into a prospective trial. All feet underwent identical operations. When a Crepe Bandage was used there was no significant difference in the rate of complications, or in the patient’s assessment of postoperative pain relief. Patients treated with a Crepe Bandage were back to full activity as quickly as their plaster slipper counterparts and the patient’s overall assessment of the operation was no different.

  • plaster slipper versus Crepe Bandage after wilson s osteotomy for hallux valgus
    The Foot, 1999
    Co-Authors: R.m.d. Meek, E.g. Anderson
    Abstract:

    Abstract Much variability exists in the postoperative mobilization management after modified Wilson’s osteotomy for hallux valgus. This study aimed to elicit the differences, if any, between weightbearing following surgery as managed with a plaster slipper as compared to that of a Crepe Bandage. Fifty-four operated feet were randomly entered into a prospective trial. All feet underwent identical operations. When a Crepe Bandage was used there was no significant difference in the rate of complications, or in the patient’s assessment of postoperative pain relief. Patients treated with a Crepe Bandage were back to full activity as quickly as their plaster slipper counterparts and the patient’s overall assessment of the operation was no different.

  • Plaster slipper versus Crepe Bandage metatarsophalangeal joint fusion after first
    1998
    Co-Authors: R.m.d. Meek, E.g. Anderson
    Abstract:

    Summary Much variability exists in the postoperative mobilization management after first metatarsal phalangeal (1st MTP) joint fusion. This study aimed to determine the differences, if any, between weight bearing following surgery as managed with a plaster slipper as compared with that of a Crepe Bandage. Fifty-two operated feet were randomly entered into a prospective trial. All feet underwent identical operations. When a Crepe Bandage was used there was no significant difference in the rate of complications, or in the patient's assessment of postoperative pain relief. Patients treated with a Crepe Bandage were back to full activity significantly more quickly than their plaster slipper counterparts and the patient's overall assessment of the operation was better. In addition transfer to Crepe Bandage mobilization would be more cost-effective and reduce the demand on the time of trained personnel for application of a piaster. It is therefore proposed that patients are mobilized after first metatarsalphalangeal joint fusion, weight bearing in a Crepe Bandage.