Which leg immobilized patient gains the most from Intermittent Pneumatic Compression in DVT-prevention?

R. Juthberg, G. Edman, P.W. Ackermann
Original Article, 272-281
doi: 10.32098/mltj.02.2019.18
Full text PDF

Background and method. Following Achilles tendon rupture (ATR)-surgery, patients using intermittent pneumatic compression (IPC) of the calf, compared to a plaster casted control-group (CTRL), exhibit reduced risk of deep venous thrombosis (DVT). Based on data from a randomized controlled trial (RCT), we investigated which dichotomized subgroups (based on age, sex, BMI and time to surgery (TTS)) within the IPC- (n= 66) and CTRL-group (n= 70) that were most likely to sustain a DVT, and which patients that had most benefit from postoperative IPC.
Results. Age ≥39y (OR 6.06, p<0.001) and TTS >66h (OR 2.3, p=0.031) significantly increased the risk of DVT, but not sex or BMI. IPC-treatment significantly reduced the DVT-risk (OR 0.46, p=0.042), with more pronounced effect when considering age and TTS (OR 0.40, p=0.032). Although non-significant, females (OR 1.44, p=0.78) and patients with low BMI (OR 1.16, p=0.84) seemed to exhibit less DVT-preventive effect of IPC.
Conclusion. Patients with age >38y and TTS>66h are at increased DVT-risk during post-operative leg immobilization, while adjuvant IPC shows good DVT-preventive effects among most patients, especially in those with high DVT-risk. Further trials are however warranted, to examine the low DVT-preventive effects of IPC discovered among females and patients with low BMI.

Keywords: Achilles tendon rupture, deep vein thrombosis, intermittent pneumatic compression,

Table of Content: Vol.9 (No.2) 2019 April/June

  1. Ligamentum capitis femoris: first written mentions

    S.V. Arkhipov, D.V. Skvortsov
    Original Article, 156-164
    doi: 10.32098/mltj.02.2019.01
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  2. The anatomical characteristics of Vietnamese adult hip joint: a multiplanar reconstruction computer tomographic study

    D. Tran Trung, H. Pham Trung, M. Truong Cong, N. Maffulli, T. Nguyen Trung
    Original Article, 165-172
    doi: 10.32098/mltj.02.2019.02
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  3. Evolution of isokinetic strength and return to sport after proximal hamstring rupture without surgical repair: a retrospective series of cases

    A. Fouasson-Chailloux, P. Menu, O. Mesland, Y. Guillodo, V. Crenn, M. Dauty
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    doi: 10.32098/mltj.02.2019.03
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  4. Iliotibial Band Friction Syndrome: A Systematic Review and Meta-analysis to evaluate lower-limb biomechanics and conservative treatment

    V. Balachandar, M. Hampton, O. Riaz, S. Woods
    Original Article, 181-193
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  5. Combined reconstruction of the medial patellotibial and patellofemoral ligaments

    N. Maffulli, R. Aicale, D. Tarantino, D. A. Young
    Original Article, 194-201
    doi: 10.32098/mltj.02.2019.06
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  6. Repair of antero lateral ligament injuries in acute anterior cruciate ligament tears: an in vivo study using navigation

    E. Monaco, A. Ponzo, D. Lupariello, P. Rota, M. Fabbri, R. Lanzetti, D. Mazza, A. Ferretti
    Original Article, 202-209
    doi: 10.32098/mltj.02.2019.07
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  7. Isokinetic strength profile of subjects with proximal patellar tendinopathy

    J.F. Kaux, J.L. Croisier, V, Libertiaux
    Original Article, 210-216
    doi: 10.32098/mltj.02.2019.08
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  8. Histological alterations to the hamstring tendon caused by cleaning during autograft preparation

    Y. Okazaki, T. Furumatsu, A. Maehara, S. Miyazawa, Y. Kamatsuki, T. Hino, T. Ozaki
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  9. Teenagers’ perceptions of their scoliotic curves. An observational study of comparison between sports people and non- sports people

    A. Notarnicola, G. Farì, G. Maccagnano, A. Riondino, I. Covelli, F. P. Bianchi, S. Tafuri, A. Piazzolla, B. Moretti
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  10. Fifth metatarsal tuberosity avulsion fractures: a new surgical technique without metal implant

    F.F. Sesti, F. Oliva, R. Iundusi
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  11. Reconstruction of acute distal biceps tendon ruptures with ToggleLoc. Clinical, functional and radiographic outcomes at 5-year follow-up

    R.M. Lanzetti, D. Lupariello, D. Topa, M. Spoliti
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    doi: 10.32098/mltj.02.2019.13
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  12. Comparison of distal versus proximal-distal kinesio taping effects on gait initiation profile in athletes with functional ankle instability

    S. Fereydounnia, A. Shadmehr, B. Attarbashi Moghadam, S. Talebian Moghadam, S. Mohsen Mir, S. Salemi, F. Pourkazemi
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    doi: 10.32098/mltj.02.2019.14
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  13. Effects of supraphysiological doses of nandrolone decanoate in Achilles tendon of rats

    P. Pires Marques, N. Mota Porto, C. Pedrozo Vieira, L. Prado Oliveira, A. Esteves, W. Costa Rossi Júnior, E. Rosa Pimente, F. Da Ré Guerra
    Original Article, 255-261
    doi: 10.32098/mltj.02.2019.15
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  14. Extracorporeal Shockwave Therapy of Healthy Achilles Tendons Results in a Conditioned Pain Modulation Effect: A Randomised Exploratory Cross-Over Trial

    P. Vallance, P. Malliaras
    Original Article, 262-271
    doi: 10.32098/mltj.02.2019.16
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  15. Which leg immobilized patient gains the most from Intermittent Pneumatic Compression in DVT-prevention?

    R. Juthberg, G. Edman, P.W. Ackermann
    Original Article, 272-281
    doi: 10.32098/mltj.02.2019.18
    Full text PDF

  16. The efficacy of knee orthoses following anterior cruciate ligament injury. Review of literature

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    Review, 282-294
    doi: 10.32098/mltj.02.2019.19
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  17. Musculoskeletal Health Questionnaire: translation, cultural adaptation and validation of the Italian version (MSK-HQ-I)

    G. Galeoto, V. Piepoli, E. Ciccone, R. Mollica, C. Federici, F. Magnifica, A. Servadio
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    doi: 10.32098/mltj.02.2019.20
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  18. Retraction

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