DOS Kongressen 2014 ·
219
Compression in Anklefracture Treatment, the CAT-
study
Rikke Winge, Stig Sonne-Holm, Camilla Ryge , Hans Gottlieb, Lasse Bayer
Orthopedic Surgery, Nordsjællands Hospital
Background:
Malleolar fractures in Denmark has an incidence of 107/100.000
person, making it one of the most common fracture types in the country. In
Denmark 6000 malleolar fractures are operated each year. Studies have shown
increased complication rates in the elderly, diabetics, smokers, patients on im-
munomodulating medication, alcoholics, and patients with osteoporosis and
peripheral neuropathy. Nordsjællands Hospital has decided, to implement a
standard regime of elevation, Flowtron Hydroven 3™ and Coban™ 2 lite, to pre-
vent oedema formation and blistering. The decision came after clinicians having
observed a high incidence of oedema, blistering and wound healing problems
in this cohort of patients, often forcing surgeons to postpone surgery and pro-
longing inpatient stay, resulting in a long and cumbersome rehabilitation for the
patient.
Purpose / Aim of Study:
To perform a randomized, controlled cohort study, to
evaluate the effect of Flowtron Hydroven3™ and Coban2 lite™ on the incidence
of complications (infection, wound dehiscence, prolonged healing, skin necrosis,
exposed hardware, DVT, amputation and death) after operation for mono-, bi-
and trimalleolar fractures at Nordsjællands Hospital.
Materials and Methods:
156 Patients with an unstable malleolar fracture, in-
cluded and randomized in the ED. Intervention: Compression therapy in the form
of Flowtron Hydroven3™ and Coban2 lite™compression bandage. Controle:
Elevation of the ankle on a Braun frame. Follow-up: 6 weeks. The project man-
ager will note any wound healing problems (infection, wound dehiscence, skin
necrosis, visible osteosynthesis material).
Findings / Results:
By the time of the DOS-congress, the authors are ready
to present the preliminary data, concerning the first 78 patients (50% of ex-
pected)
Conclusions:
Awaiting analysis of preliminary data.
166.
