Application of compression bandaging post-osteotomy results in altered pain profile; results of a single-centre randomised controlled trial.

Jonker, Leon, Bell, Lucy, Robinson, Kirsty, Davidson, Katherine and Dawson, Matt (2020) Application of compression bandaging post-osteotomy results in altered pain profile; results of a single-centre randomised controlled trial. International Journal of Orthopaedic and Trauma Nursing .

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Abstract

Purpose
To assess if application of dual-layer compression bandage to osteotomy patients post-surgery can positively influence levels of post-operative pain and swelling.
Patients & Methods
Prospective, single-centre, randomised controlled trial comparing standard care, non-compression bandaging, versus Coban™ 2 (3M). Seven day application of the latter to index leg of osteotomy patients.
Results
Primary outcome data was available for 36 out of 49 study subjects (18 standard care versus 18 Coban™ 2 subjects). Median 10-cm scale pain levels showed a statistically non-significant difference at day 5 and day 12 post-surgery between standard care and Coban™ 2 respectively: 5.5 cm vs 2.5 cm (p-value 0.068) and 4.0 cm vs 2.3 cm (p-value 0.39). However, on day 12 (p-value 0.029) and week 6 (p-value 0.027), ‘throbbing pain’ was significantly higher for Coban™ 2 patients. Changes in limb swelling measures, comparing before and after the surgical procedure, did not differ between treatment arms. Compression led to more patients reporting bandage-related discomfort (6% standard care versus 63% Coban™ 2 patients).
Conclusion
Compression bandaging changes the post-surgery pain profile in osteotomy patients, but does not reduce leg swelling. Any subsequent leg compression trials must take into account patient comfort and titrate intervention length and compression rates.

Item Type:	Article
Journal / Publication Title:	International Journal of Orthopaedic and Trauma Nursing
Publisher:	Science Direct
ISSN:	1878-1241
Departments:	Institute of Health > Rehabilitation and Sport Science
Depositing User:	Christian Stretton
Date Deposited:	17 Nov 2020 11:51
Last Modified:	12 Nov 2021 01:23
URI:	https://insight.cumbria.ac.uk/id/eprint/5780

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