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Graded compression stockings in elective orthopaedic surgery: An assessment of the in vivo performance of commercially available stockings in patients having hip and knee arthroplasty

Lookup NU author(s): Andrew Best, Professor Paul Gregg

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Abstract

We recruited 89 patients who had hip or knee replacements to assess the performance of below-knee graded compression stockings. The pressure gradients generated by the stockings were measured and all patients had venography of the ipsilateral leg. We found that 98% of stockings failed to produce the 'ideal' pressure gradient (± 20%) of 18, 14 and 8 mmHg from the ankle to the knee, while 54% produced a 'reversed gradient' on at least one occasion during the course of the study. The overall rate of deep-venous thrombosis was 16.7%. Stockings which produced reversed gradients were associated with a significantly higher incidence of deep-venous thrombosis (p = 0.026) than those with the correct gradient (25.6% v 6.1%). This suggests that the performance of graded compression stockings can be improved if reversed pressure gradients are detected and prevented.

Publication metadata

Author(s): Best AJ, Williams S, Crozier A, Bhatt R, Gregg PJ, Hui ACW

Publication type: Article

Publication status: Published

Journal: Journal of Bone and Joint Surgery - Series B

Year: 2000

Volume: 82

Issue: 1

Pages: 116-118

ISSN (print): 0301-620X

ISSN (electronic): 2044-5377

Publisher: British Editorial Society of Bone and Joint Surgery

URL: http://dx.doi.org/10.1302/0301-620X.82B1.9694

DOI: 10.1302/0301-620X.82B1.9694

PubMed id: 10697326

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