![]() Anesthesia of the orthopedic surgery can slow down the venous flow rate, formating a hypercoagulable state of blood, and after surgery the patients need limb immobilization for recovering, which is also an important cause of postoperative DVT ( 2, 3). Accepted for publication Sep 09, 2021.ĭeep venous thrombosis (DVT) occurs when the blood flow rate slows, or the blood becomes hypercoagulable, which makes the venous blood clot in the blood vessels and can stimulate post-thrombotic syndromes (PTS) such as tissue edema, ulcers, and varicose veins ( 1). Keywords: Deep venous thrombosis (DVT) elastic stockings meta-analysis orthopedics It is necessary to combine anticoagulant drugs and other physical therapies to prevent DVT. Therefore, fixed effect mode analysis was used, and the effect size of elastic stockings after ankle surgery was Z=3.65, P=0.0003, while the effect size of elastic stockings in the hip and knee arthroplasty subgroup was Z=1.23, P=0.22.ĭiscussion: Elastic stockings had an obvious preventive effect on DVT in patients undergoing ankle surgery, but not in patients undergoing lumbar, knee or spinal surgery. The internal literatures of each subgroup were homogeneous: ankle surgery subgroup (I 2=0%, P=0.43), hip and knee arthroplasty subgroup (I 2=0%, P=0.88). They were analyzed by subgroup according to the type of operation: ankle surgery or hip and knee arthroplasty. One study was excluded, and the remaining 6 showed homogeneity (I 2=0%, P=0.46). The obtained statistic was, the statistical effect size was Z=1.84, P=0.07, and the difference was not statistically significant, so a stepwise sensitivity analysis was performed by the exclusion method. ![]() Meta-analysis showed that the 7 studies had statistical heterogeneity (I 2=32%, P=0.18), so a random effect model was used. Results: In this study, 90 studies were initially screened and 7 were finally included, covering a total of 3,116 patients. Revman 5.3.5 software was used for statistical analysis of the data to obtain forest and funnel plots. ![]() Methods: PubMed, Embase and Cochrane were selected as the search database platforms to search the literature of randomized controlled trials related to elastic stockings and DVT published from 2008 to date. Policy of Dealing with Allegations of Research Misconductīackground: To investigate the preventive effect of elastic stockings on deep vein thrombosis (DVT) after orthopedic surgery by literature search and meta-analysis.Policy of Screening for Plagiarism Process.If you’d like more information on compassion stockings, or would like to purchase a pair specifically for travel, get in contact with our team and we’ll provide you with some options. Research undertaken by The Lancet has found that a knee-high compression stocking of 20-30 mm Hg was sufficient to minimize DVT in the calf. Unlike the medical grade compression stockings often recommended post-vein-surgery, in-flight compression stockings can often be bought over the counter. If you’re specifically looking for compression stockings to wear during a long haul flight, you’re going to want to find ones that fit just below your knee and have a slightly snugger fit than those used to keep you comfortable at work. Compression stockings help reduce swelling, increase comfort, improve blood flow, and most importantly, lower your chances of getting deep vein thrombosis (DVT), a form of blood clot that can cause serious medical problems.Ĭompression stockings come in all kinds of shapes and sizes, so it can be hard to know exactly which one is right for you. When flying long distances, many people chose to wear compression stockings.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |